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

Kassandra Nicole Goodwin, APRN

Individual provider Family Nurse Practitioner · NPI 1003612300

Kassandra Nicole Goodwin, APRN is a Nurse Practitioner in Danville, Illinois. Qualified in 2024, 2 years ago. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

707 N Logan Ave
Danville, IL 61832-4360
Phone: (217) 477-4770
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.031712 (IL)

Record details

NPI number1003612300
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 23, 2025
Certification dateFebruary 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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