Individual provider Active NPI

Bailey Godfrey Klein, DNP, PC-PNP

  • Pediatric Nurse Practitioner
  • Bend, OR
National Provider Identifier
1568998714
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
10032119 Issued in OR
Practice address
1908 NW Rimrock Rd
Bend, OR 97703-1025
Phone
(702) 773-6620
NPI assigned
May 10, 2017
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 10032119 OR Primary

Addresses

Primary practice location

1908 NW Rimrock Rd
Bend, OR 97703-1025

Mailing address

1908 NW Rimrock Rd
Bend, OR 97703-1025
Phone (702) 773-6620

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

State licenses

LicenseStateTypeSpecialty
10032119ORMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bgodfreyklein1523036@direct.lhs.org

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1568998714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 NW RIMROCK RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031025",
            "telephone_number": "702-773-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 NW RIMROCK RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031025",
            "telephone_number": "702-773-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY KLEIN",
        "first_name": "BAILEY",
        "credential": "DNP, PC-PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "10032119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.