Sue A Godfrey

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

125 Avery St
Fairmont, WV 26554-2236

Phone

(304) 816-2715

NPI assigned

Jan 29, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2021.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1851982185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LEMONT CT",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544414",
            "telephone_number": "304-816-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AVERY ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542236",
            "telephone_number": "304-816-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "SUE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Glover
• Louise Ann Glover
• Timothy Glover
• Laura Goblinger, SLP
• Glenna Rose Godfrey
• Elizabeth Marie Goff
• Miranda Goff
• Candace Golaszewski, MSW
• Gold Key Occupational Therapy
• Taylor Paiva Goldsmith, BS

• All providers in Fairmont, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.