Individual provider Active NPI

Jill Ann Godsey, APN,CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Kerrville, TX
National Provider Identifier
1780787077
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
74270 Issued in KS
Practice address
3600 Memorial Blvd
Kerrville, TX 78028-5768
Phone
(830) 792-2451
Fax
(830) 792-2423
NPI assigned
Sep 5, 2006
Last updated
Jan 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 74270 KS Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 657184 TX

Addresses

Primary practice location

3600 Memorial Blvd
Kerrville, TX 78028-5768

Mailing address

515 N Buckboard Dr
Kerrville, TX 78028-1807
Phone (830) 792-2451

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
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
74270KSMDPsychiatric/Mental Health Clinical Nurse Specialist
657184TXMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1780787077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N BUCKBOARD DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780281807",
            "telephone_number": "830-792-2451",
            "fax_number": "830-792-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MEMORIAL BLVD",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285768",
            "telephone_number": "830-792-2451",
            "fax_number": "830-792-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "APN,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "KS",
            "license": "74270",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "657184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.