1. Home
  2. Directory
  3. Arizona
  4. Prescott
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GOODWIN STREET MEDICAL SUPPLY LLC
NPI 1205802899
Durable Medical Equipment & Medical Supplies - Customized Equipment in Prescott, AZ

Active since February 24, 2006
1202 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 541-1825(928) 541-1823 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goodwin Street Medical Supply Llc NPPES

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

GOODWIN STREET MEDICAL SUPPLY LLC (NPI 1205802899) is a healthcare organization registered as a customized equipment in Prescott, Arizona and active in the NPI registry since February 2006. The organization lists Michelle Irene Herod, Owner, as its authorized official.

NPPES Registry Identity

NPI1205802899
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameGOODWIN STREET MEDICAL SUPPLY LLC
Location Address1202 WILLOW CREEK RDPrescott, AZ 86301-1428
Mailing Address1202 Willow Creek RdPrescott, AZ 86301-1428 · (928) 541-1825 · Fax (928) 541-1823
Phone(928) 541-1825
Fax(928) 541-1823
Organization SubpartNo
Authorized OfficialMichelle Irene HerodOwner · (928) 541-1825
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJuly 11, 2026
NPPES CertifiedJuly 11, 2026
✔ NPI 1205802899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in AZ · 20002621
1202 WILLOW CREEK RD, Prescott, AZ 86301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 7

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

BENNETT CLINIC LLC
Clinic/Center (Physical Therapy)
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 771-9400
JEAN M BOWMAN P.T.
Physical Therapist (Orthopedic)
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 771-9400
DR. JASON MARCUS DOERING D.C.
Chiropractor
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 771-9400
DR. MICHAEL NASH D.C.
Chiropractor
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 771-9400
WAYNE A BENNETT
Chiropractor (Orthopedic)
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 771-9400
BENNETT CLINIC LLC
Physical Therapist
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 771-9400
DR. WAYNE A BENNETT D.C.,D.A.B.C.O.
Chiropractor (Orthopedic)
1202 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 771-9400

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 Goodwin Street Medical Supply LLC's NPI number?

The NPI number for Goodwin Street Medical Supply LLC is 1205802899. It was assigned to this organization in the NPPES registry on February 24, 2006.

Where is Goodwin Street Medical Supply LLC located?

Goodwin Street Medical Supply LLC is located at 1202 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 541-1825.

What is Goodwin Street Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

What insurance does Goodwin Street Medical Supply LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Goodwin Street Medical Supply LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Goodwin Street Medical Supply LLC was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.