Andree Godmaire

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

C20104 (BOC) Issued in NH

Practice address

115 Etna Road Building 1
Suite 1
Lebanon, NH 03766

Phone

(603) 448-4251

Fax

(603) 448-4251

NPI assigned

Sep 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1659475820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 METHODIST HILL RD",
            "city": "PLAINFIELD",
            "state": "NH",
            "postal_code": "037815418",
            "telephone_number": "603-448-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ETNA ROAD BUILDING 1",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-448-4251",
            "fax_number": "603-448-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODMAIRE",
        "first_name": "ANDREE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NH",
            "license": "C20104 (BOC)",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30763212",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012747",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "12Y004995NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Astrid Gleaton, M.D.
• Monnie J Gleeson
• Harrison Glicklich
• Samantha Glover, AUD
• Patricia T Glowa, MD
• Jason Michael Godsell, DPT
• Teresa Marie Godsell, AUD
• Cassandra M Godzik, APRN
• Kristen Marie Goff, PA-C
• Ann C Goggins, M.D

• Orthotic Fitter in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Orthotic Fitter in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.