Individual provider Active NPI

Geoffrey Lloyd Godfrey, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1689610925
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60341324 Issued in WA
Practice address
19636 N 27TH Ave
Ste 190
Phoenix, AZ 85027-4013
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60341324 WA Primary
Family Nurse Practitioner 363LF0000X AP60341324 WA

Addresses

Primary practice location

19636 N 27TH Ave
Ste 190
Phoenix, AZ 85027-4013

Mailing address

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-4216

Other practice location 1

916 Pacific Ave
Everett, WA 98201-4147
Phone (425) 258-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000701 WA Practitioner - Nurse Practitioner 4486716529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conquer Addiction PLLCGroup PAC ID 8325562044, 6 clinicians
Providence Health and Services-WaGroup PAC ID 0648330787, shared by 2 NPIs, 25 clinicians

Practice addresses (Care Compare)

809 W Main St
Suite C
Monroe, WA 98272-2172
Phone (206) 552-0882

900 Pacific Ave
Everett, WA 98201-4168

916 Pacific Ave
Everett, WA 98201-4147
Phone (425) 258-7390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jun 1, 2013 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jun 1, 2013 Accepting new patients
Medical Arts Associates P.S CurrentSince Dec 1, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Conquer Addiction PLLC CurrentSince Jul 17, 2025 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1632 116th Ave NE
Ste C
Bellevue, WA 98004
Phone (206) 462-9800

809 W Main St
Ste C
Monroe, WA 98272
Phone (206) 552-0882

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13603/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1689610925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212562",
            "telephone_number": "360-299-4216",
            "fax_number": "360-299-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE",
            "address_2": "STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274013",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014147",
            "country_code": "US",
            "telephone_number": "425-258-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "GEOFFREY",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60341324",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60341324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.