Individual provider Active NPI

Hannah Altman Godwin, NP

  • Family Nurse Practitioner
  • Jasper, FL
National Provider Identifier
1831940063
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032038 Issued in FL
Practice address
506 4TH St NW
Jasper, FL 32052-6603
Phone
(386) 792-0700
NPI assigned
Mar 27, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 APRN11032038 FL Primary

Addresses

Primary practice location

506 4TH St NW
Jasper, FL 32052-6603

Mailing address

506 4TH St NW
Jasper, FL 32052-6603
Phone (386) 792-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240502000884 FL Practitioner - Nurse Practitioner 4082054465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watson Healthcare LLCGroup PAC ID 2264843275, 2 clinicians

Practice addresses (Care Compare)

506 4TH St NW
Jasper, FL 32052-6603
Phone (386) 792-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11032038FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Imaging LLC Current Accepting new patients
Watson Healthcare LLC CurrentSince Mar 28, 2024 Accepting new patients

Locations

413 5th Ave NW
Ste A
Jasper, FL 32052
Phone (386) 792-0700

506 4th St NW
Jasper, FL 32052
Phone (386) 792-2101

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1831940063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 4TH ST NW",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320526603",
            "telephone_number": "386-792-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 4TH ST NW",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320526603",
            "telephone_number": "386-792-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "HANNAH",
        "middle_name": "ALTMAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, FL

Sources for this page

Verify at the official NPI Registry.