Gary Nolan Godfrey, APRN

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

217034-4405 Issued in UT

Practice address

299 S Main St Ste 1700
Salt Lake City, UT 84111-2279

Phone

(801) 303-0186

Fax

(801) 880-7599

NPI assigned

Dec 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1376181891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 S MAIN ST STE 1700",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112279",
            "telephone_number": "801-303-0186",
            "fax_number": "801-880-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 S MAIN ST STE 1700",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112279",
            "telephone_number": "801-303-0186",
            "fax_number": "801-880-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "GARY",
        "middle_name": "NOLAN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "UT",
            "license": "217034-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gngodfrey@energysolutions.com",
            "affiliation": "N",
            "endpointDescription": "Secure Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Fax",
            "address_1": "299 S Main St Ste 1700",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841112279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amandeep Godara, MD
• Bailee Mikelle Goddard-Hymas, AU.D
• Kelly Godecke, M.D.
• Aubrey Ann Godfrey
• Bradeigh Smithson Godfrey, D.O.
• Judy K Godfrey, MS CCCSLP
• Lauren E. Godfrey, MD
• Linda Godfrey, LCSW
• Cristopher B Godoy, CPSS
• Cynthia Anne Godsey, NURSE PRACTITIONER

• Occupational Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Occupational Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.