Daniel Arthur Godfrey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

45858 Issued in CO

Practice address

580 Mohawk Dr
Baseline Medical Offices
Boulder, CO 80303-3712

Phone

(303) 614-1493

NPI assigned

Jun 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1558523639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W COTA ST APT B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017051",
            "telephone_number": "805-962-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 MOHAWK DR",
            "address_2": "BASELINE MEDICAL OFFICES",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033712",
            "telephone_number": "303-614-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "DANIEL",
        "middle_name": "ARTHUR",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "45858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Wells Glowney, MD
• Rachael Glustrom
• Goally Inc.
• Alisha Ann Gocke
• Caitlin Goddard, MA, LPC
• Candace S Godwin, MPT
• Debra Goeglein
• David L Goetz, CMT
• Sheila L. Goetz, M.A. CCC-SLP
• Maya Golan, MA, LPC

• Licensed Practical Nurse in Boulder, CO
• Providers in Boulder, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.