Active NPI
Danielle Godfrey, RN,MSN,RNC-MNN,IBCLC
- Lactation Consultant (Registered Nurse)
- Port Orange, FL
National Provider Identifier
1720794613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 9565465
- Practice address
- 3510 S Nova Rd Ste 111
Port Orange, FL 32129-3796 - Phone
- (386) 310-9401
- NPI assigned
- Jan 25, 2023
- Last updated
- Apr 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | 9565465 | FL | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 9565465 | FL | Primary |
Addresses
Primary practice location
3510 S Nova Rd Ste 111
Port Orange, FL 32129-3796
Mailing address
960 Countryside West Blvd
Port Orange, FL 32127-7988
Other practice location 1
125 W Plymouth Ave Ste A
Deland, FL 32720-2745
Phone (386) 310-9401
Other practice location 2
960 Countryside West Blvd
Port Orange, FL 32127-7988
Phone (386) 310-9401
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 - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9565465 | FL | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1720794613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 COUNTRYSIDE WEST BLVD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321277988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 S NOVA RD STE 111",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293796",
"telephone_number": "386-310-9401"
}
],
"practiceLocations": [
{
"address_1": "125 W Plymouth Ave Ste A",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327202745",
"country_code": "US",
"telephone_number": "386-310-9401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "960 Countryside West Blvd",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "321277988",
"country_code": "US",
"telephone_number": "386-310-9401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODFREY",
"first_name": "DANIELLE",
"credential": "RN,MSN,RNC-MNN,IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Maternal Newborn",
"state": "FL",
"license": "9565465",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "FL",
"license": "9565465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.