Individual provider Active NPI

Karen Sue Godine, RN, BSN, LMT, CLT

  • Nurse Massage Therapist (NMT)
  • Seven Hills, OH
National Provider Identifier
1558783605
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
RN 166819 Issued in OH
Practice address
6730 Donna Rae Dr
Seven Hills, OH 44131-3704
Phone
(440) 382-2200
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN 166819 OH
Nurse Massage Therapist (NMT) 163WM1400X RN 166819 OH Primary
Massage Therapist 225700000X 33. 020620 E-G OH

Addresses

Primary practice location

6730 Donna Rae Dr
Seven Hills, OH 44131-3704

Mailing address

6730 Donna Rae Dr
Seven Hills, OH 44131-3704
Phone (440) 382-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 166819OHMDNurse Massage Therapist (NMT)
33. 020620 E-GOHMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1558783605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 DONNA RAE DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441313704",
            "telephone_number": "440-382-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 DONNA RAE DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441313704",
            "telephone_number": "440-382-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINE",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, LMT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN 166819",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "OH",
            "license": "RN 166819",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33. 020620 E-G",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.