Individual provider Active NPI

David O Goodwin, CRNP

  • Family Nurse Practitioner
  • Albertville, AL
National Provider Identifier
1720598683
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-144033 Issued in AL
Practice address
5850 US Highway 431 Ste 34
Albertville, AL 35950-2083
Phone
(866) 607-2869
NPI assigned
Oct 5, 2017
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-144033 AL Primary

Addresses

Primary practice location

5850 US Highway 431 Ste 34
Albertville, AL 35950-2083

Mailing address

5850 US Highway 431 Ste 34
Albertville, AL 35950-2083
Phone (866) 607-2869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030000216 AL Order and Referring Only - Nurse Practitioner 9032464300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-144033ALMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: ms_dgoodw15@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1720598683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 US HIGHWAY 431 STE 34",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502083",
            "telephone_number": "866-607-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 US HIGHWAY 431 STE 34",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502083",
            "telephone_number": "866-607-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "DAVID",
        "middle_name": "O",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-144033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.