Active NPI
Laurie Fulton Godfrey, M.S., CCC-SLP
- Speech-Language Pathologist
- Apex, NC
National Provider Identifier
1376694653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6426
- Practice address
- 1031 W Williams St
Suite 104
Apex, NC 27502-3955 - Phone
- (919) 363-5000
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6426 | NC | Primary |
Addresses
Primary practice location
1031 W Williams St
Suite 104
Apex, NC 27502-3955
Mailing address
924 Northbrook Dr
Raleigh, NC 27609-5518
Phone (919) 219-3650
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6426 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376694653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 NORTHBROOK DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095518",
"telephone_number": "919-219-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 W WILLIAMS ST",
"address_2": "SUITE 104",
"city": "APEX",
"state": "NC",
"postal_code": "275023955",
"telephone_number": "919-363-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "LAURIE",
"middle_name": "FULTON",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "6426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.