Active NPI
Kacey Godwin
- Occupational Therapist
- Summerfield, NC
National Provider Identifier
1275298796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14546
- Practice address
- 8301 Cavelletti CT
Summerfield, NC 27358-9387 - Phone
- (803) 322-2799
- NPI assigned
- Nov 1, 2021
- Last updated
- May 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14546 | NC | Primary |
Addresses
Primary practice location
8301 Cavelletti CT
Summerfield, NC 27358-9387
Mailing address
4219 Henderson Rd
Greensboro, NC 27410-4304
Phone (409) 392-8683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14546 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1275298796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 HENDERSON RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104304",
"telephone_number": "409-392-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 CAVELLETTI CT",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589387",
"telephone_number": "803-322-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "KACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.