Active NPI
Angela M. Godwin, Nurse Practitioner in Family Health, PLLC.
- Family Nurse Practitioner
- Bronx, NY
National Provider Identifier
1669884748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F335139-1
- Legal business name
- ANGELA M. GODWIN, NURSE PRACTITIONER IN FAMILY HEALTH, PLLC.
- Practice address
- 1469 Astor Ave
Bronx, NY 10469-5846 - Phone
- (347) 871-3774
- NPI assigned
- May 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Debra Rodriguez
- Title
- Practice Manager
- Phone
- (646) 457-8127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F335139-1 | NY | Primary |
Addresses
Primary practice location
1469 Astor Ave
Bronx, NY 10469-5846
Mailing address
12001 Avalon Lake Dr Apt 326
Orlando, FL 32828-7379
Phone (646) 457-8127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
88 New Dorp Plz S
Staten Island, NY 10306
Phone (347) 466-1952
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1992822043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651449600000",
"number": "1669884748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 AVALON LAKE DR APT 326",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287379",
"telephone_number": "646-457-8127",
"fax_number": "347-824-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1469 ASTOR AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695846",
"telephone_number": "347-871-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELA M. GODWIN, NURSE PRACTITIONER IN FAMILY HEALTH, PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-23",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "646-457-8127",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F335139-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.