Active NPI
Alexander Godwin
- Student in an Organized Health Care Education/Training Program
- Oakwood, VA
National Provider Identifier
1841753928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0203018071
- Practice address
- 1060 Dragon Rd
Oakwood, VA 24631-9210 - Phone
- (866) 935-7350
- NPI assigned
- Apr 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 0203018071 | VA | Primary |
Addresses
Primary practice location
1060 Dragon Rd
Oakwood, VA 24631-9210
Mailing address
PO Box 451
Keen Mountain, VA 24624-0451
Phone (443) 640-5748
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0203018071 | VA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554595200000",
"number": "1841753928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 451",
"city": "KEEN MOUNTAIN",
"state": "VA",
"postal_code": "246240451",
"telephone_number": "443-640-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 DRAGON RD",
"city": "OAKWOOD",
"state": "VA",
"postal_code": "246319210",
"telephone_number": "866-935-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-07",
"last_updated": "2019-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0203018071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakwood, VA
- McKenzy Lyn Anderson
- Appalachian College of Pharmacy (Mountain Care Center)
- Buchanan General Hospital Inc (Keen Mountain Clinic)
- Danny Cline, PA-C
- Brooks Ryan Crumpton, D.D.S., P.C.
- Grayson Dean Griffith, PT, DPT
- Keshia Brooke Hackworth, FNP-BC
- Robert Ralph Hagy Sr., D.D.S.
- Jennifer Ingle, CSAC, CAADC
- Ramesh P Kabaria, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.