Ruby Godbolt

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R109843 Issued in MD

Practice address

7001 Johnnycake Rd Ste 103
Windsor Mill, MD 21244-2419

Phone

(410) 304-3232

Fax

(410) 630-3853

NPI assigned

Apr 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Healthy Folks Medical Clinic

  • Nurse Practitioner
  • Windsor Mill, MD
  • NPI 1528703527

  Gerontology

  Medicare reassignment NPD Authorized official
• Dr Jeffrey D. Gaber & Associates, P.a.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1356488076
  Medicare reassignment
• Sanare Acupuncture & Oriental Medicine, LLC

  • Acupuncturist
  • Windsor Mill, MD
  • NPI 1851920318
  NPD

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1134573728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD STE 103",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442419",
            "telephone_number": "410-304-3232",
            "fax_number": "410-630-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD STE 103",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442419",
            "telephone_number": "410-304-3232",
            "fax_number": "410-630-3853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 Pulaski Park Dr",
            "address_2": "Suite 416",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212201409",
            "country_code": "US",
            "telephone_number": "410-933-5678",
            "fax_number": "410-238-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODBOLT",
        "first_name": "RUBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R109843",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R109843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Gaters, LCSW-C
• Joann Gaylord, RN CRNI
• Paula Gillon
• Anna Giolitti Argueta
• Gloris Health Services LLC
• Vanesha Vasian Goffe, DNP, FNP-BC
• Golden Crest Care Services LLC.
• Leigh Ann Goldstein, PHD, APRN-BC, CNE
• Natalie Gordon, PHARMD
• Elina Gornopolskaya

• Gerontology Nurse Practitioner in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.