Individual provider Active NPI

Elizabeth Godlove, RN,A/GNP-C

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1093765679
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
437521 Issued in TX
Practice address
2000 West Loop S
Suite 900
Houston, TX 77027-3513
Phone
(281) 740-7606
Fax
(281) 879-1495
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 437521 TX Primary

Addresses

Primary practice location

2000 West Loop S
Suite 900
Houston, TX 77027-3513

Mailing address

2000 West Loop S
Suite 900
Houston, TX 77027-3513
Phone (281) 740-7606

Other identifiers 1

IdentifierTypeStateIssuer
GNP012521MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates of America, P.a. Gerontology PastSince Feb 28, 2005 Accepting new patients
Optum Care Services Company Gerontology PastSince Mar 7, 2016 Accepting new patients
Geriatric Associates of America-Texas, PLLC Gerontology Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1093765679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WEST LOOP S",
            "address_2": "SUITE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273513",
            "telephone_number": "281-740-7606",
            "fax_number": "281-879-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WEST LOOP S",
            "address_2": "SUITE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273513",
            "telephone_number": "281-740-7606",
            "fax_number": "281-879-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLOVE",
        "first_name": "ELIZABETH",
        "credential": "RN,A/GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "437521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GNP012521",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.