Individual provider Active NPI

Bethany Alison Godsy, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1508067430
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP115013 Issued in TX
Practice address
17150 N Eldridge Pkwy Ste G
Tomball, TX 77377-2863
Phone
(936) 202-3108
Fax
(936) 271-1682
NPI assigned
May 29, 2007
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 AP115013 TX Primary

Addresses

Primary practice location

17150 N Eldridge Pkwy Ste G
Tomball, TX 77377-2863

Mailing address

17150 N Eldridge Pkwy Ste G
Tomball, TX 77377-2863
Phone (936) 202-3108

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
I20130702000746 TX Order and Referring Only - Nurse Practitioner 8820238454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP115013TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vector Health, PLLC CurrentSince Aug 27, 2023 Accepting new patients
Sound Medical Clinic PA PastSince Aug 27, 2023 Accepting new patients

Locations

17150 N Eldridge Pkwy
Ste G
Tomball, TX 77377
Phone (281) 251-3997

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1508067430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 N ELDRIDGE PKWY STE G",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772863",
            "telephone_number": "936-202-3108",
            "fax_number": "936-271-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 N ELDRIDGE PKWY STE G",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772863",
            "telephone_number": "936-202-3108",
            "fax_number": "936-271-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSY",
        "first_name": "BETHANY",
        "middle_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.