JONATHAN P GODWIN (NPI# 1366041766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366041766 |
| Entity Type | Individual |
| Full Name | JONATHAN P GODWIN |
| Credential | LMBT |
| Practice Address |
4104 Cross Creek Ct Apt D Raleigh NC 27607-6549 |
| Practice Telephone | 2523999809 |
| Mailing Telephone | 2523999809 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13580 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4104 CROSS CREEK CT APT D |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780438 | Maurice Lemont Suggs | Massage Therapist | 2700 Cluskey Way Apt 303, Raleigh, NC 27615-8067 | 2020-11-08 |
| 1205443413 | Christopher Hunter | Massage Therapist | 6153 Beale Loop, Raleigh, NC 27616-3483 | 2020-09-30 |
| 1275140410 | Wine Ngon | Massage Therapist | 4149 Lake Lynn Dr Apt 107, Raleigh, NC 27613-3453 | 2020-09-30 |
| 1861007460 | Bonita Head | Massage Therapist | 7916 Mandrel Way, Raleigh, NC 27616-9503 | 2020-09-10 |
| 1417561408 | Joshua Sawtelle Larimar | Massage Therapist | 11017 Astor Hill Dr, Raleigh, NC 27613-5669 | 2020-09-07 |
| 1811501109 | Marissa Yvonne Touhey | Massage Therapist | 737 Royal Anne Ln Apt 101, Raleigh, NC 27615-7823 | 2020-09-03 |
| 1467066969 | Anthony Tomlinson Jr. | Massage Therapist | 8404 Six Forks Rd Ste 104, Raleigh, NC 27615-3073 | 2020-09-02 |
| 1740894591 | Renee Demarest | Massage Therapist | 2025 Queen Charlotte Pl, Raleigh, NC 27610-9637 | 2020-08-31 |
| 1306495783 | Natoya Moreno | Massage Therapist | 3008 Anderson Dr Ste 105, Raleigh, NC 27609-7744 | 2019-09-09 |
| 1093370496 | Amanda Rose | Massage Therapist | 1105 Canterbury Rd, Raleigh, NC 27607-4148 | 2019-05-01 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.