Individual provider Active NPI

Laura Virginia Godfrey, DC

  • Chiropractor
  • Topsfield, MA
National Provider Identifier
1902857394
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2330 Issued in MA
Practice address
239 Boston St
Suite 212/214
Topsfield, MA 01983-2215
Phone
(978) 887-9889
Fax
(978) 360-6023
NPI assigned
May 12, 2006
Last updated
Sep 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2330 MA Primary

Addresses

Primary practice location

239 Boston St
Suite 212/214
Topsfield, MA 01983-2215

Mailing address

239 Boston St
Suite 212/214
Topsfield, MA 01983-2215
Phone (978) 887-9889

Other identifiers 6

IdentifierTypeStateIssuer
457523OtherMATUFTS
Y39382OtherMABLUE CROSS & BLUE SHIELD
043513290OtherMAUNICARE
043513290OtherMAHEALTH CARE VALUE MANAGEM
7949174OtherMAAETNA US HEALTHCARE
57972OtherMACIGNA HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000470 MA Practitioner - Chiropractic 5294745139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 Boston
Suite 214
Topsfield, MA 01983-2215
Phone (978) 887-9889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ray of Light Chiropractic, PC Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

239 Boston St
#212214
Topsfield, MA 01983
Phone (978) 887-9889

239 Boston St
Ste 212214
Topsfield, MA 01983
Phone (978) 887-9889

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1902857394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BOSTON ST",
            "address_2": "SUITE 212/214",
            "city": "TOPSFIELD",
            "state": "MA",
            "postal_code": "019832215",
            "telephone_number": "978-887-9889",
            "fax_number": "978-360-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BOSTON ST",
            "address_2": "SUITE 212/214",
            "city": "TOPSFIELD",
            "state": "MA",
            "postal_code": "019832215",
            "telephone_number": "978-887-9889",
            "fax_number": "978-360-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "LAURA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "457523",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "Y39382",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "043513290",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE VALUE MANAGEM",
            "identifier": "043513290",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7949174",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "57972",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.