Active NPI
Bailey Godfrey Klein, DNP, PC-PNP
- Pediatric Nurse Practitioner
- Bend, OR
National Provider Identifier
1568998714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 10032119
- Practice address
- 1908 NW Rimrock Rd
Bend, OR 97703-1025 - Phone
- (702) 773-6620
- NPI assigned
- May 10, 2017
- Last updated
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10032119 | OR | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- 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.