Individual provider Active NPI

Edward Godfrey

  • Personal Care Attendant
  • Lafayette, LA
National Provider Identifier
1710498134
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
515 S College Rd Ste 100
Lafayette, LA 70503-3346
Phone
(337) 269-1165
NPI assigned
Oct 12, 2017
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

515 S College Rd Ste 100
Lafayette, LA 70503-3346

Mailing address

515 S College Rd Ste 100
Lafayette, LA 70503-3346
Phone (337) 269-1165

Other practice location 1

209 West Main St
Ste. 200
New Iberia, LA 70560
Phone (337) 321-9204

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

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1710498134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S COLLEGE RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033346",
            "telephone_number": "337-269-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S COLLEGE RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033346",
            "telephone_number": "337-269-1165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 West Main St",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "70560",
            "country_code": "US",
            "telephone_number": "337-321-9204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.