Individual provider Active NPI

Becky L Godby, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sequim, WA
National Provider Identifier
1528045085
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60528556 Issued in WA
Practice address
502 S Still Rd Ste 102
Sequim, WA 98382
Phone
(360) 683-2388
Fax
(360) 504-3666
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60528556 WA Primary

Addresses

Primary practice location

502 S Still Rd Ste 102
Sequim, WA 98382

Mailing address

502 S Still Rd Ste 102
Sequim, WA 98382-3578
Phone (360) 683-2388

Other practice location 1

118 E 8th St
Port Angeles, WA 98362-6129
Phone (360) 457-0431 ext. 198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150520000213 WA Practitioner - Nurse Practitioner 0042342651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Psychiatric Care PSGroup PAC ID 4486953825, 3 clinicians

Practice addresses (Care Compare)

502 S Still Rd
Suite 102
Sequim, WA 98382-3578
Phone (360) 683-2344

Hospital & facility affiliations

  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Behavioral Health CurrentSince Apr 13, 2015 Accepting new patients
Olympic Psychiatric Care PS CurrentSince Apr 5, 2016 Accepting new patients

Locations

118 E 8th St
Port Angeles, WA 98362
Phone (360) 457-0431

502 S Still Rd
Ste 102
Sequim, WA 98382
Phone (360) 683-2344

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/peninsulabehavioral/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1528045085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S STILL RD STE 102",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823578",
            "telephone_number": "360-683-2388",
            "fax_number": "360-504-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S STILL RD STE 102",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-683-2388",
            "fax_number": "360-504-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983626129",
            "country_code": "US",
            "telephone_number": "360-457-0431 x198",
            "fax_number": "360-565-3905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODBY",
        "first_name": "BECKY",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60528556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.