Active NPI
Robin Godshalk, CRNA
- Registered Nurse
- Philadelphia, PA
National Provider Identifier
1407913445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN207350L
- Practice address
- 900 Walnut St
Philadelphia, PA 19107-5509 - Phone
- (215) 503-1340
- Fax
- (856) 829-0580
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN207350L | PA | Primary |
Addresses
Primary practice location
900 Walnut St
Philadelphia, PA 19107-5509
Mailing address
700 US RT 130 N
Suite 203
Cinnaminson, NJ 08077
Phone (856) 829-9345
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207350L | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407913445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 US RT 130 N",
"address_2": "SUITE 203",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "08077",
"telephone_number": "856-829-9345",
"fax_number": "856-829-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075509",
"telephone_number": "215-503-1340",
"fax_number": "856-829-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODSHALK",
"first_name": "ROBIN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN207350L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
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.