Active NPI
Kimberly Ann Godsey, CNP
- Nurse Practitioner
- Monterey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95011334
- Practice address
- 30 Garden CT Ste B
Monterey, CA 93940-5302 - Phone
- (831) 647-1123
- Fax
- (831) 886-3647
- NPI assigned
- Jul 15, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA.14778-NP | OH | |
| Nurse Practitioner | 363L00000X | 95011334 | CA | Primary |
Addresses
Primary practice location
30 Garden CT Ste B
Monterey, CA 93940-5302
Mailing address
30 Garden CT Ste B
Monterey, CA 93940-5302
Phone (831) 647-1123
Other names 1
- Kimberly Ann Montgomery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
30 Garden CT
B
Monterey, CA 93940-5302
Phone (831) 647-1123
Hospital & facility affiliations
- Central Coast Vna & Hospice, Inc
- Community Hospital of the Monterey Peninsula
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.59 of 100
- Quality
- 81.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95011334 | CA | MD | Nurse Practitioner |
| COA.14778-NP | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montage Medical Group | Current | Accepting new patients |
Locations
23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
2 Upper Ragsdale Dr
Bldg E
Monterey, CA 93940
Phone (831) 333-3040
30 Garden Ct
Ste B
Monterey, CA 93940
Phone (831) 647-1123
30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Carmel, CA
- NPI 1770710709
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Monterey, CA
- NPI 1093718884
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1720429095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 GARDEN CT STE B",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405302",
"telephone_number": "831-647-1123",
"fax_number": "831-886-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 GARDEN CT STE B",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405302",
"telephone_number": "831-647-1123",
"fax_number": "831-886-3647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODSEY",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA.14778-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95011334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "MONTGOMERY",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.