Active NPI
Judy K Godfrey, MS CCCSLP
- Speech-Language Pathologist
- Salt Lake City, UT
National Provider Identifier
1679647259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 355200-4102
- Practice address
- 3855 S 700 E
Woodland Park Care Center
Salt Lake City, UT 84106 - Phone
- (801) 270-2531
- Fax
- (801) 281-9743
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 355200-4102 | UT | Primary |
Addresses
Primary practice location
3855 S 700 E
Woodland Park Care Center
Salt Lake City, UT 84106
Mailing address
493 East 5600 South
Murray, UT 84107-6261
Phone (801) 262-7998
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09130770 | Other | UT | ASHA |
| D2289 | Medicaid | UT |
Other names 1
- Judy Mae Godfrey
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355200-4102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679647259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 EAST 5600 SOUTH",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076261",
"telephone_number": "801-262-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 S 700 E",
"address_2": "WOODLAND PARK CARE CENTER",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84106",
"telephone_number": "801-270-2531",
"fax_number": "801-281-9743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "JUDY",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "MS CCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "355200-4102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "09130770",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D2289",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "GODFREY",
"middle_name": "MAE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.