Active NPI
Kristy Ann Godbold, APRN-CNP
- Pediatric Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP136401
- Practice address
- 6620 Main St
Suite H1300
Houston, TX 77030-2331 - Phone
- (713) 797-1144
- Fax
- (832) 825-7771
- NPI assigned
- Feb 6, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP136401 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP136401 | TX | Primary |
Addresses
Primary practice location
6620 Main St
Suite H1300
Houston, TX 77030-2331
Mailing address
6620 Main St
Suite H1300
Houston, TX 77030-2331
Phone (713) 797-1144
Other practice location 1
1200 Binz St Ste 175
Houston, TX 77004-6925
Phone (713) 520-6016
Other practice location 2
1200 Binz St Ste 175
Houston, TX 77004-6925
Phone (713) 520-6016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136401 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children's Physician Group | Current | Accepting new patients | |
| M.Haroon Siddiqui M.D.,P.a. | Past | Accepting new patients | |
| Chandni Choudhary MD PA | Past | Accepting new patients |
Locations
2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003
6651 Main St
Ste F320
Houston, TX 77030
Phone (512) 828-3660
6620 Fannin St
Ste H1300
Houston, TX 77030
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6620 Main St
Ste H1300
Houston, TX 77030
Phone (713) 797-1144
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- kgodbold168379@prddirect.texaschildrens.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
dba Houston Family Practice
- Family Medicine Physician
- Houston, TX
- NPI 1366512709
-
- Pediatrics Physician
- Houston, TX
- NPI 1427683176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1487153318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 MAIN ST",
"address_2": "SUITE H1300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302331",
"telephone_number": "713-797-1144",
"fax_number": "832-825-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 MAIN ST",
"address_2": "SUITE H1300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302331",
"telephone_number": "713-797-1144",
"fax_number": "832-825-7771"
}
],
"practiceLocations": [
{
"address_1": "1200 Binz St Ste 175",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770046925",
"country_code": "US",
"telephone_number": "713-520-6016",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Binz St Ste 175",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770046925",
"country_code": "US",
"telephone_number": "713-520-6016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODBOLD",
"first_name": "KRISTY",
"middle_name": "ANN",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP136401",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP136401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.