Active NPI
Lauren Michelle Godby, PNP
- Pediatric Nurse Practitioner
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024176584
- 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, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialists of Virginia, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba Radiology Imaging Associates
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
-
- Cardiovascular Disease Physician
- Manassas, VA
- NPI 1669982526
-
dba Inova Pathology Institute
- Anatomic Pathology & Clinical Pathology Physician
- Falls Church, VA
- NPI 1427369578
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.