Goodwin Street Medical Supply LLC
NPI 1205802899 · Customized Equipment (DME) · Prescott, AZ
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Goodwin Street Medical Supply LLC is a Customized Equipment (DME) organization in Prescott, AZ (NPI 1205802899).
Provider details
- NPI number
- 1205802899
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Michelle Herod, Owner(928) 541-1825
- License
- 20002621 (AZ)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2015-05-21
Frequently asked questions
- What is Goodwin Street Medical Supply LLC's NPI number?
- Goodwin Street Medical Supply LLC's National Provider Identifier (NPI) is 1205802899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Goodwin Street Medical Supply LLC?
- Goodwin Street Medical Supply LLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Goodwin Street Medical Supply LLC located?
- Goodwin Street Medical Supply LLC's practice location on file with NPPES is 406 W Goodwin St, Prescott, AZ 86303-3737.
- What is Goodwin Street Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Goodwin Street Medical Supply LLC is (928) 541-1825.
- Does Goodwin Street Medical Supply LLC accept Medicare?
- Goodwin Street Medical Supply LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Goodwin Street Medical Supply LLC?
- The authorized official listed on Goodwin Street Medical Supply LLC's NPPES record is Michelle Herod, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Goodwin Street Medical Supply LLC's NPI active?
- Yes — Goodwin Street Medical Supply LLC's NPI (1205802899) is active in the NPPES registry as of the last update on 2015-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.