Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Goddard Medical Services LLC

Organization Nurse Practitioner · NPI 1659911832

Goddard Medical Services LLC is a Nurse Practitioner in Fort Wayne, Indiana. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9025 Coldwater Rd Ste 200
Fort Wayne, IN 46825-2097
Phone: (260) 459-9225
Fax: (608) 001-5122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1659911832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Goddard — Owner · (812) 226-9600
NPI enumeratedJanuary 15, 2020
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address9025 Coldwater Rd Ste 200, Fort Wayne, IN 46825-2097

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