Individual provider Active NPI

Kristy Ann Godbold, APRN-CNP

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1487153318
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP136401 Issued in TX
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

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423002112 TX Practitioner - Nurse Practitioner 1658613682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136401TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children's Physician Group CurrentSince Apr 3, 2019 Accepting new patients
M.Haroon Siddiqui M.D.,P.a. PastSince Mar 9, 2020 Accepting new patients
Chandni Choudhary MD PA PastSince Jan 1, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.