Alexandra Nicole Godina, RN

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

53-82643-042 Issued in KS

Practice address

5969 N Hartford CT
Park City, KS 67219-2255

Phone

(316) 305-1518

NPI assigned

Mar 13, 2022

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1790433399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 N HARTFORD CT",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672192255",
            "telephone_number": "316-305-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 N HARTFORD CT",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672192255",
            "telephone_number": "316-305-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINA",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "KS",
            "license": "53-82643-042",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "137313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dopps Family Chiropractic, LLC
• Derin Lewis Dopps, D.C.
• Dr. Melissa J House DDS PA (Park City Dental)
• Family Medical Supply, LLC
• Jordan Leigh Gardinier, DC
• Mary Elizabeth Goedert, DDS
• Sean Hess, PHD, CCC-SLP
• Melissa Jane House, DDS PA
• James Gregory Kahrs, MD
• Emily Christine Knee

• Neonatal Nurse Practitioner in Park City, KS
• Providers in Park City, KS by specialty
• Neonatal Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.