Individual provider Active NPI

Joann Godwin

  • Registered Dietitian
  • Greensboro, NC
National Provider Identifier
1316657059
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L001358 Issued in NC
Practice address
5415 W Friendly Ave Ste F
Greensboro, NC 27410-4255
Phone
(336) 790-6778
NPI assigned
Dec 5, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L001358 NC Primary

Addresses

Primary practice location

5415 W Friendly Ave Ste F
Greensboro, NC 27410-4255

Mailing address

618 Beech Ridge Rd
Thomasville, NC 27360-9722
Phone (336) 906-6669

Other practice location 1

618 Beech Ridge Rd
Thomasville, NC 27360-9722
Phone (336) 906-6669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L001358NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Christie Hunter Rd, LLC Dietitian, Registered CurrentSince Dec 13, 2022 Accepting new patients

Locations

5415 W Friendly Ave
Ste F
Greensboro, NC 27410
Phone (336) 480-7616

Interoperability endpoints

  • Direct secure messaging: joann.godwin.1@14940.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1316657059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BEECH RIDGE RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273609722",
            "telephone_number": "336-906-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 W FRIENDLY AVE STE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104255",
            "telephone_number": "336-790-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Beech Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273609722",
            "country_code": "US",
            "telephone_number": "336-906-6669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "JOANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.