Eduardo Godoy, MA, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001926 Issued in MI

Practice address

100 Iac
Mount Pleasant, MI 48859-0001

Phone

(989) 774-2196

NPI assigned

Jul 21, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1053834044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E BROOMFIELD ST APT P6",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488587183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 IAC",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "EDUARDO",
        "credential": "MA, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002560",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdelyn Gipe
• Jodie Gittus, OTR
• Marissa Sue Gloria, LLMSW
• Courtney Goddard, BCBA
• Susan Kay Godde, OTR
• Luanne Goffnett
• Andrew J Goike, PA
• Christa Gomez
• Sydney Gordon
• Angela S Gorski

• Athletic Trainer in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.