Hannah Altman Godwin, NP
Individual provider Active NPI Family Nurse Practitioner · Jasper, FL
NPI 1831940063 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1831940063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11032038 (FL)
- Practice address
- 506 4TH St NW
Jasper, FL 32052-6603 - Phone
- (386) 792-0700
- NPI assigned
- Mar 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Watson Healthcare LLC
Practice addresses (Care Compare)
506 4TH St NW
Jasper, FL 32052-6603
Phone (386) 792-0700
Hospital & facility affiliations
- Centerwell Home Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502000884 | FL | Practitioner - Nurse Practitioner | 4082054465 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watson Healthcare LLC | Current |
Accepting new patients | |
| Apex Imaging LLC | Current | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11032038 | FL | Yes |
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
Other providers in Jasper, FL
- Martha Fultz
- Sharon B Gay
- Gentle Love and Care Assisted Living Facility
- Gentle Love and Care LLC
- Gentle Love and Care LLC
- H C Healthcare Inc
- H C Healthcare Inc
- H.C. Healthcare, Inc.
- H.C. Healthcare, Inc.
- H.C. Healthcare, Inc.
All providers in Jasper, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.