Individual provider Active NPI

Allison Godfrey, FNP-BC

  • Family Nurse Practitioner
  • Niskayuna, NY
National Provider Identifier
1710336581
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016003102 Issued in NY
Practice address
40 Linda LN
Niskayuna, NY 12309-1962
Phone
(518) 881-5069
NPI assigned
Jun 12, 2016
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016003102 NY Primary

Addresses

Primary practice location

40 Linda LN
Niskayuna, NY 12309-1962

Mailing address

40 Linda LN
Niskayuna, NY 12309-1962
Phone (518) 881-5069

Other practice location 1

976 Balltown Rd
Schenectady, NY 12309-6428
Phone (518) 393-0391

Other practice location 2

21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7586

Other practice location 3

21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7586

Other identifiers 1

IdentifierTypeStateIssuer
04879609MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171018003521 NY Practitioner - Nurse Practitioner 9638457344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minzer Medical PCGroup PAC ID 9133567720, 8 clinicians

Practice addresses (Care Compare)

135 Linden Blvd
Brooklyn, NY 11226-3302
Phone (908) 347-1744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6762CTMDMassage Therapist
2016003102NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC CurrentSince Dec 3, 2017 Accepting new patients
Community Care Physicians, PC Past Accepting new patients

Locations

501 New Karner Rd
Ste 1A
Albany, NY 12205
Phone (518) 452-1337

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

3732 Carman Rd
Schenectady, NY 12303
Phone (518) 356-4132

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1710336581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LINDA LN",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091962",
            "telephone_number": "518-881-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LINDA LN",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091962",
            "telephone_number": "518-881-5069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "976 Balltown Rd",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123096428",
            "country_code": "US",
            "telephone_number": "518-393-0391",
            "fax_number": "518-372-3281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Grand St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061061541",
            "country_code": "US",
            "telephone_number": "860-550-7586",
            "fax_number": "860-231-9224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Grand St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061061541",
            "country_code": "US",
            "telephone_number": "860-550-7586",
            "fax_number": "860-231-9224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "ALLISON",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-12",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2016003102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04879609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

Verify at the official NPI Registry.