Individual provider Active NPI

Nneka Okoh Godwin

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1891294161
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
62480 Issued in NM
Practice address
5900 Forest Hills Dr NE
Albuquerque, NM 87109-4129
Phone
(505) 822-6000
NPI assigned
Feb 1, 2018
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 62480 NM Primary
Family Nurse Practitioner 363LF0000X AP136385 TX

Addresses

Primary practice location

5900 Forest Hills Dr NE
Albuquerque, NM 87109-4129

Mailing address

PO Box 42738
Towson, MD 21284-2738
Phone (610) 925-1032

Other practice location 1

3201 W Saner Ave
Dallas, TX 75233-1430
Phone (214) 331-0567

Other practice location 2

2257 White Rock Ln
Little Elm, TX 75068-5891
Phone (972) 400-7073

Other practice location 3

2257 White Rock Ln
Little Elm, TX 75068-5891
Phone (972) 400-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, WA, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180402000802 TX Practitioner - Nurse Practitioner 4688681497 Reassigns benefits to 2 organizations
I20220308000311 NM Practitioner - Nurse Practitioner 4688681497 Reassigns benefits to 2 organizations
I20231222000187 WA Practitioner - Nurse Practitioner 4688681497 Reassigns benefits to 1 organization
I20240118004382 OR Practitioner - Nurse Practitioner 4688681497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians

Practice addresses (Care Compare)

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111-6022
Phone (206) 823-1004

10435 SE Cora St
Portland, OR 97266-2331
Phone (206) 823-1004

11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (206) 823-1004

1900 Hines St SE
Suite 220
Salem, OR 97302-1371
Phone (972) 400-7073

2500 Carlisle Blvd NE
Unit 2266
Albuquerque, NM 87110-4213
Phone (505) 507-1132

5515 Glen Lakes Dr
Dallas, TX 75231-4309
Phone (801) 891-1038

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
62480NMMDNurse Practitioner
AP136385TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Jul 10, 2022 Accepting new patients
Fidelity Home and Hospice LLC CurrentSince Dec 15, 2019 Accepting new patients
Calm Psychiatry PC CurrentSince Jun 20, 2022 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients
Pleasant Home Care Services Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1900 Hines St SE
Ste 220
Salem, OR 97302
Phone (972) 400-7073

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 6

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 2

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1891294161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42738",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212842738",
            "telephone_number": "610-925-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 FOREST HILLS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094129",
            "telephone_number": "505-822-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Saner Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752331430",
            "country_code": "US",
            "telephone_number": "214-331-0567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2257 White Rock Ln",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750685891",
            "country_code": "US",
            "telephone_number": "972-400-7073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2257 White Rock Ln",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750685891",
            "country_code": "US",
            "telephone_number": "972-400-7073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOH GODWIN",
        "first_name": "NNEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "62480",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.