Angela Dawn Goddard, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

077460 Issued in NC

Practice address

200 Hawthorne LN
Charlotte, NC 28204-2515

Phone

(704) 384-4239

Fax

(704) 384-5636

NPI assigned

Jun 14, 2007

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agoddard44003@direct.novanthealth.org

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.

• Crna Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Greenwood Village, CO
  • NPI 1154979342

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Crna Associates Inc.

  • Certified Registered Nurse Anesthetist
  • Littleton, CO
  • NPI 1801015284

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• D M B Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Denver, CO
  • NPI 1235798000

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Metro Denver Pain Management PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Englewood, CO
  • NPI 1528365863
  Medicare reassignment NPD
• Mountain View Anesthesia

  • Certified Registered Nurse Anesthetist
  • Littleton, CO
  • NPI 1972194207

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Dry Creek Surgery Center, LLC

  dba Surgery Center of Highlands Ranch

  • Ambulatory Surgical Clinic/Center
  • Highlands Ranch, CO
  • NPI 1770075467
  NPD
• Carolina Digestive Health Associates, PA

  dba Carolina Digestive Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
  • NPI 1063584415
  NPD (past)
• Anesthesia Network Services, LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1508199142
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1952505505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601549",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601549",
            "telephone_number": "704-384-4274",
            "fax_number": "704-384-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-384-4239",
            "fax_number": "704-384-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "077460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AGODDARD44003@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "200 Hawthorne Ln",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• God's Choice Home Agency LLC
• God's Production Ministries Inc
• Kenyatt Motti Godbolt, M.S., CCC-SLP
• Tanisha Godbolt
• Lauren Brooke Godbout, PHARMD
• Godel & Associates II PLLC (Charlotte Family Dental Care)
• Godel & Associates II PLLC
• Adina Samone Godette, LCSW
• Kasi Joy Godfrey
• Samantha Godfrey, PT

• Certified Registered Nurse Anesthetist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.