Mary Doreen Godornes, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5380130112 Issued in KS

Practice address

3200 Strong Ave
Kansas City, KS 66106-2116

Phone

(913) 262-0550

NPI assigned

Dec 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yolanda Huet-Vaughn, M.D., P.a.Group PAC ID 9032181375, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Yolanda Huet-Vaughn, M.D., P.a.

  • Family Medicine Physician
  • Kansas City, KS
  • NPI 1578660791
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1780270330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 STRONG AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661062116",
            "telephone_number": "913-262-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 STRONG AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661062116",
            "telephone_number": "913-262-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODORNES",
        "first_name": "MARY",
        "middle_name": "DOREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021011075",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5380130112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Christopher Glidewell, MD
• Nika Catherine Gloyeske, M.D.
• Emma Taylor Gober
• Britni Gochnauer, PHARMD
• Kerilyn Nicole Godbe
• Harold N. Godwin, RPH
• Emily Goering, LMSW
• Kenneth K Goertz, MD
• Ashley Goff, APRN, NP-C
• Golden Oaks Healthcare, Inc.

• Family Nurse Practitioner in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.

Verify at the official NPI Registry.