Mavis Elizabeth Godley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5571 Issued in CT

Practice address

3514 Main St
CVS Health Minuteclinic
Coventry, CT 06238-1551

Phone

(860) 742-3543

NPI assigned

Oct 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mavis Elizabeth Macneil Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1235567975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 MAIN ST",
            "address_2": "CVS HEALTH MINUTECLINIC",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381551",
            "telephone_number": "860-742-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MAIN ST",
            "address_2": "CVS HEALTH MINUTECLINIC",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381551",
            "telephone_number": "860-742-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEY",
        "first_name": "MAVIS",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5571",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337730",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAVIS",
            "last_name": "MACNEIL",
            "middle_name": "ELIZABETH",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Molly Finnegan, LMSW
• Shanise Fleming, DC
• Emily Forsey, APRN
• Caitlin Gardner
• Ryanne Gatti, LMFT
• Susan Grace, APRN
• Kari Hernandez, PHARMD
• Kevin Michael Hoffman, MS, LAT, ATC, OPE-C,
• Shirley Holloway, MSW
• Elena Fader Hurlburt, M.A. CCC-SLP

• All providers in Coventry, CT
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.