Active NPI
Joann Godwin
- Registered Dietitian
- Greensboro, NC
National Provider Identifier
1316657059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001358
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L001358 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Hunter Rd, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5415 W Friendly Ave
Ste F
Greensboro, NC 27410
Phone (336) 480-7616
Interoperability endpoints
- 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.