Margie M Godfrey, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30001050 Issued in WA

Practice address

335 Una Ave.
Cathlamet, WA 98612

Phone

(360) 795-3201

Fax

(360) 795-3209

NPI assigned

Apr 7, 2006

Last updated

Jun 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. John's Emergency Physicians, Inc., P.S.

  • Emergency Medicine Physician
  • Longview, WA
  • NPI 1154354660
  NPD (past)
• Wahkiakum County

  dba Wahkiakum County Health & Human Services

  • Community/Behavioral Health Agency
  • Cathlamet, WA
  • NPI 1427277425
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1083677447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 UNA AVE.",
            "city": "CATHLAMET",
            "state": "WA",
            "postal_code": "98612",
            "telephone_number": "360-795-3201",
            "fax_number": "360-795-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 UNA AVE.",
            "city": "CATHLAMET",
            "state": "WA",
            "postal_code": "98612",
            "telephone_number": "360-795-3201",
            "fax_number": "360-795-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "MARGIE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30001050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV #",
            "identifier": "5233678",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "188432",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROV #",
            "identifier": "9161GO",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9607284",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "J8131-02",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Renee Courser
• Cowlitz Family Health Center (Family Health Center)
• Gina Denoble, MS
• Eagle Healthcare, Inc (Columbia View Care Center)
• Alia Giltner
• Mindy Lee Hegstad-Hulsizer, LICSW ASSOCIATE
• Kristina Heiner
• Chris Holmes, MS
• Tammy L Johnson, CDPT
• Peggy Jane Katims

• Family Nurse Practitioner in Cathlamet, WA
• Providers in Cathlamet, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.