Kate Gruen Godfrey, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1184 Issued in NE

Practice address

2281 S 67TH St
Omaha, NE 68106-2809

Phone

(402) 331-0392

Fax

(402) 331-0183

NPI assigned

Aug 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Impact Health Biometric Testing, Inc.

  • Clinical Medical Laboratory
  • King of Prussia, PA
  • NPI 1588132013
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1841283983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 S 67TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062809",
            "telephone_number": "402-331-0392",
            "fax_number": "402-331-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 S 67TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062809",
            "telephone_number": "402-331-0392",
            "fax_number": "402-331-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "KATE",
        "middle_name": "GRUEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KATE NPI",
            "identifier": "1841283983",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081684105",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GODFREY CHIRO NPI",
            "identifier": "1003301754",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goddess Oshun Home Health Care LLC
• Morgan Godemann
• Godfrey Chiropractic PC
• Bruce Schoenman Godfrey, DC
• Jean Godfrey
• Kelly Godfrey, MSN, APRN, FNP-C
• Krista Marie Godfrey, R.D.
• McKenzie Carlynn Godfrey
• Melissa V Godfrey, LMHP
• Amber June Godsey, B.S.

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.