Individual provider Active NPI

Lauren Michelle Godby, PNP

  • Pediatric Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1508347030
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024176584 Issued in VA
Practice address
8081 Innovation Park Dr Ste 765
Fairfax, VA 22031-4867
Phone
(571) 472-1717
Fax
(571) 472-1718
NPI assigned
Aug 23, 2018
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024176584 VA Primary

Addresses

Primary practice location

8081 Innovation Park Dr Ste 765
Fairfax, VA 22031-4867

Mailing address

814 N Edgewood St Apt 1a
Arlington, VA 22201-1971
Phone (540) 793-2954

Other practice location 1

6565 Arlington Blvd Ste 200
Falls Church, VA 22042
Phone (703) 531-3627

Other names 1

  • Ms. Lauren Michelle Gerl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181219003543 DC Practitioner - Nurse Practitioner 3779828793 Reassigns benefits to 2 organizations
I20190122000547 VA Practitioner - Nurse Practitioner 3779828793 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialists of Virginia, LLC CurrentSince Nov 1, 2018 Accepting new patients
Inova Health Care Services CurrentSince Feb 10, 2023 Accepting new patients
Inova Health Care Services CurrentSince Feb 10, 2023 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services - Pathology Past Accepting new patients
Carient Heart & Vascular, LLC Past Accepting new patients

Locations

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

8081 Innovation Park Dr
Ste 765
Fairfax, VA 22031
Phone (571) 472-1717

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

6565 Arlington Blvd
Ste 200
Falls Church, VA 22042
Phone (703) 531-3627

14904 Richmond Hwy
Woodbridge, VA 22191

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lgodby598797@soc.inova.org

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, 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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1508347030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 N EDGEWOOD ST APT 1A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011971",
            "telephone_number": "540-793-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 765",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-1717",
            "fax_number": "571-472-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Arlington Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "22042",
            "country_code": "US",
            "telephone_number": "703-531-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODBY",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024176584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GERL",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.