Individual provider Active NPI

Teresa Christine Godfrey, RN, BS, MS, FNP

  • Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1316371776
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-010114 Issued in IL
Practice address
405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone
(847) 381-5599
Fax
(847) 381-8042
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-010114 IL Primary

Addresses

Primary practice location

405 Lake Zurich Rd
Barrington, IL 60010-3141

Mailing address

405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone (847) 381-5599

Other names 1

  • Miss Teresa Christine Koss Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tgodfrey205147@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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)
Enrolled
Credentials
Bachelor of Science, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209-010114ILMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tgodfrey205147@direct.myadvocateaurora.org

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1316371776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "847-381-5599",
            "fax_number": "847-381-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "847-381-5599",
            "fax_number": "847-381-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "TERESA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RN, BS, MS, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-010114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgodfrey205147@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "405 Lake Zurich Rd",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600103141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "405 Lake Zurich Rd",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600103141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "KOSS",
            "middle_name": "CHRISTINE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.