Active NPI
Angie Leigh Godwin, RD LD CSG
- Registered Dietitian
- Birmingham, AL
National Provider Identifier
1346545118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1169
- Practice address
- 709 Shades Crest Rd
Birmingham, AL 35226-1235 - Phone
- (205) 910-7170
- Fax
- (205) 585-0694
- NPI assigned
- Jan 25, 2011
- 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 | 1169 | AL | Primary |
Addresses
Primary practice location
709 Shades Crest Rd
Birmingham, AL 35226-1235
Mailing address
PO Box 660225
Birmingham, AL 35266-0225
Phone (205) 910-7170
Other names 1
- Mrs. Angie Godwin Coffield
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 |
|---|---|---|---|
| 1169 | AL | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1346545118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660225",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352660225",
"telephone_number": "205-910-7170",
"fax_number": "205-585-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 SHADES CREST RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352261235",
"telephone_number": "205-910-7170",
"fax_number": "205-585-0694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "ANGIE",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "RD LD CSG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-25",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "1169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGIE",
"last_name": "COFFIELD",
"middle_name": "GODWIN",
"prefix": "MRS.",
"credential": "RD LD CSG",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.