Kristen Cannon Godeaux, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

206366 Issued in LA

Practice address

4650 Ambassador Caffery Pkwy Ste 101
Lafayette, LA 70508-6926

Phone

(337) 470-7870

Fax

(337) 470-7879

NPI assigned

Oct 3, 2019

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Home Health Home health agency, Lafayette, LA, CCN 197777
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Iberia Medical Center Hospital, New Iberia, LA, CCN 190054

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgodeaux74049@direct.casso.us.com
• Direct secure messaging: kristen.godeaux@495859721895940.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lourdes Physician Group LLC

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1437405883

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Acadiana Center LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1386066769
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  LA, Nurse Practitioner

  Medicare reassignment NPD
• Thrive Family Practice LLC

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1346947744
  NPD Authorized official

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

• Hospital Service District No 1 of Iberia Parish

  dba Iberia Medical Center

  • Rehabilitation Hospital Unit
  • New Iberia, LA
  • NPI 1992159925
  Care Compare affiliation
• Hospital Service District No. 1 of Iberia Parish

  dba Iberia Medical Center

  • General Acute Care Hospital
  • New Iberia, LA
  • NPI 1285601088
  Care Compare affiliation
• Nations Healthcare, L.L.C.

  dba Grace Home Health

  • Home Health Agency
  • Lafayette, LA
  • NPI 1932579414
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1467093237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-470-7870",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 AMBASSADOR CAFFERY PKWY STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086926",
            "telephone_number": "337-470-7870",
            "fax_number": "337-470-7879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 W Pinhook Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705083346",
            "country_code": "US",
            "telephone_number": "337-269-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODEAUX",
        "first_name": "KRISTEN",
        "middle_name": "CANNON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Go Ride LLC (Go Ride)
• Go Ride, LLC
• James B. Godchaux Jr., M.D.
• James Burton Godchaux Sr., M.D.
• Kenneth Bryant Godeaux, MD
• Earl Peter Godfrey Jr.
• Edward Godfrey
• Erika Danielle Godfrey
• Taylor Nicole Godfrey, MA, BCBA
• Nihal Tejas Godiwala, M.D.

• Family Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.