Individual provider Active NPI

Julie Ann Godefroid, FNP-BC

  • Family Nurse Practitioner
  • St. Louis, MO
National Provider Identifier
1437524360
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015041438 Issued in MO
Practice address
1010 Old Des Peres Road
St. Louis, MO 63131
Phone
(314) 729-0077
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015041438 MO Primary

Addresses

Primary practice location

1010 Old Des Peres Road
St. Louis, MO 63131

Mailing address

1010 Old Des Peres Road
St. Louis, MO 63131
Phone (314) 729-0077

Other practice location 1

19 Waldens Pine Ct
Ellisville, MO 63011-4739
Phone (636) 405-2743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420001278 MO Practitioner - Nurse Practitioner 6608174909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy of Creve Coeur LLCGroup PAC ID 7719280841, 85 clinicians
Emergency Physicians of St Lukes LLCGroup PAC ID 3779714142, 63 clinicians
St Louis Medical Clinic, P.C.Group PAC ID 2961496765, 11 clinicians

Practice addresses (Care Compare)

12788 Olive Blvd
Creve Coeur, MO 63141-6211

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

233 Clarkson Rd
Ellisville, MO 63011-2219
Phone (636) 256-8644

3009 N Ballas Rd
Saint Louis, MO 63131-2322
Phone (314) 432-1111

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Medical Clinic, P.C. CurrentSince Jan 30, 2024 Accepting new patients
Family Medicine - SLMG South, LLC CurrentSince Feb 1, 2025 Accepting new patients
Emergency Physicians of St. Luke'S, LLC CurrentSince Mar 29, 2016 Accepting new patients
Physician Specialists of St Lukes LLC Past Accepting new patients
St. Lukes Medical Group Past Accepting new patients

Locations

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

103 Hilltop Village Center Dr
Eureka, MO 63025
Phone (314) 576-9797

1501 Professional Dr
Imperial, MO 63052
Phone (636) 464-4000

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

1400 Lemay Ferry Rd
Saint Louis, MO 63125
Phone (314) 338-7955

11550 Olive Blvd
Saint Louis, MO 63141
Phone (314) 542-7690

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDDCDD

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437524360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 OLD DES PERES ROAD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-729-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 OLD DES PERES ROAD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-729-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Waldens Pine Ct",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MO",
            "postal_code": "630114739",
            "country_code": "US",
            "telephone_number": "636-405-2743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODEFROID",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015041438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.