Individual provider Active NPI

Kelly K Godsey, ACNP

  • Acute Care Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1902028384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024166256 Issued in VA
Practice address
Uva Cardiopulmonary Transplant
Box 800191
Charlottesville, VA 22908-0191
Phone
(434) 243-9751
Fax
(434) 924-2359
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024166256 VA Primary

Addresses

Primary practice location

Uva Cardiopulmonary Transplant
Box 800191
Charlottesville, VA 22908-0191

Mailing address

245 Rock Chimney LN
Charlottesville, VA 22903-7226
Phone (434) 243-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140328000804 VA Order and Referring Only - Nurse Practitioner 0648401059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024166256VAMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902028384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ROCK CHIMNEY LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037226",
            "telephone_number": "434-243-9751",
            "fax_number": "434-924-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UVA CARDIOPULMONARY TRANSPLANT",
            "address_2": "BOX 800191",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080191",
            "telephone_number": "434-243-9751",
            "fax_number": "434-924-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "KELLY",
        "middle_name": "K",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024166256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.