Individual provider Active NPI

Ashley A Goodwin, RN, BSN, FAE

  • Counselor
  • Lowell, MI
National Provider Identifier
1760348932
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
12740 52ND St SE
Lowell, MI 49331-9535
Phone
(517) 230-3053
NPI assigned
Dec 31, 2025
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MI Primary
Registered Nurse 163W00000X 4704262178 MI

Addresses

Primary practice location

12740 52ND St SE
Lowell, MI 49331-9535

Mailing address

12740 52ND St SE
Lowell, MI 49331-9535
Phone (517) 230-3053

Other practice location 1

751 Kenmoor Ave SE Ste H
Grand Rapids, MI 49546-2391
Phone (616) 466-4175

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704262178MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Wellness, LLC Past Accepting new patients

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": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1760348932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 52ND ST SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319535",
            "telephone_number": "517-230-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 52ND ST SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319535",
            "telephone_number": "517-230-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Kenmoor Ave SE Ste H",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462391",
            "country_code": "US",
            "telephone_number": "616-466-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, FAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704262178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.