Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

CALEB GOODWIN
NPI 1013839034
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since July 29, 2026
2101 E COLISEUM BLVD, FORT WAYNE, IN 46805(260) 257-6831 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caleb Goodwin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEB GOODWIN (NPI 1013839034) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1013839034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALEB GOODWIN
Location Address2101 E COLISEUM BLVDFort Wayne, IN 46805-1445
Mailing Address9616 Butt RdFort Wayne, IN 46818-9433
Sole ProprietorYes
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1013839034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2101 E COLISEUM BLVD, Fort Wayne, IN 46805

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Nurse Practitioner
2101 E COLISEUM BLVD, WALB 234
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Specialist/Technologist (Athletic Trainer)
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805
Nurse Practitioner (Gerontology)
2101 E COLISEUM BLVD, WU 234
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
2101 E COLISEUM BLVD
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caleb Goodwin's NPI number?

The NPI number for Caleb Goodwin is 1013839034. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Caleb Goodwin located?

Caleb Goodwin practices at 2101 E Coliseum Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 257-6831.

What is Caleb Goodwin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Caleb Goodwin was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.