Individual provider Active NPI

Kayla Godsey, DNP

  • Primary Care Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1497320337
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
215024 Issued in AR
Practice address
2524 Alexander Dr Ste a
Jonesboro, AR 72401-7193
Phone
(870) 307-4348
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 215024 AR Primary

Addresses

Primary practice location

2524 Alexander Dr Ste a
Jonesboro, AR 72401-7193

Mailing address

351 Bruce Rd
Smithville, AR 72466-8344
Phone (870) 307-4348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220504002378 AR Practitioner - Nurse Practitioner 8224425533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1001 W Parker Rd
Jonesboro, AR 72404-9582
Phone (870) 972-8181

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
Spring River Clinic, LLC CurrentSince Mar 1, 2023 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Doctors Health Group, Inc CurrentSince Sep 15, 2022 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 933-1823

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23407/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ksgodsey@sbpc.medalliesdirect.net

Organizations & group practices 6

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 1

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1497320337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 BRUCE RD",
            "city": "SMITHVILLE",
            "state": "AR",
            "postal_code": "724668344",
            "telephone_number": "870-307-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 ALEXANDER DR STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017193",
            "telephone_number": "870-307-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "215024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.