Kierstin Brooks Godfrey

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30004325 Issued in NC

Practice address

704B Progress PL
Laurinburg, NC 28352-5545

Phone

(910) 217-1862

Fax

(910) 506-4076

NPI assigned

Jul 22, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dysphagia and Voice Therapeutics PLLC

  • Speech-Language Pathologist
  • Pembroke, NC
  • NPI 1831774793
  NPD (past)

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1275361453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 LYNWOOD DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015728",
            "telephone_number": "843-622-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704B PROGRESS PL",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525545",
            "telephone_number": "910-217-1862",
            "fax_number": "910-506-4076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 St Anna Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283728420",
            "country_code": "US",
            "telephone_number": "910-217-1862",
            "fax_number": "910-506-4076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Crow Run",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "NC",
            "postal_code": "283794334",
            "country_code": "US",
            "telephone_number": "910-817-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "KIERSTIN",
        "middle_name": "BROOKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "9552",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Rides LLC
• Glory First Family Care Service
• Glory First Family Care Service
• Glory First Family Care Service, L.L.C.
• Harrison Scott Glover, PA
• Valerie Goins, LMBT
• Anita Denise Gonzalez, PA-C
• William Carroll Goodwin, D.D.S.
• Supreet Goraya, IBCLC
• Colby Hollis Gordon, CRNA

• Speech-Language Pathologist in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.