Active NPI
Bridget Amber Godson, M.S. CCC-SLP
- Speech-Language Pathologist
- Elizabethtown, KY
National Provider Identifier
1922406586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 276509
- Practice address
- 529 Westport Rd
Elizabethtown, KY 42701-2923 - Phone
- (270) 807-0316
- NPI assigned
- Dec 15, 2014
- Last updated
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 276509 | KY | Primary |
| Speech-Language Pathologist | 235Z00000X | 110889 | TX | |
| Speech-Language Pathologist | 235Z00000X | 4683 | KS |
Addresses
Primary practice location
529 Westport Rd
Elizabethtown, KY 42701-2923
Mailing address
363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302
Phone (502) 780-9137
Other practice location 1
363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302
Phone (502) 780-9137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4683 | KS | MD | Speech-Language Pathologist |
| 276509 | KY | MD | Speech-Language Pathologist |
| 110889 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1922406586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 W LINCOLN TRAIL BLVD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401603302",
"telephone_number": "502-780-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 WESTPORT RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012923",
"telephone_number": "270-807-0316"
}
],
"practiceLocations": [
{
"address_1": "363 W Lincoln Trail Blvd",
"address_purpose": "LOCATION",
"city": "Radcliff",
"state": "KY",
"postal_code": "401603302",
"country_code": "US",
"telephone_number": "502-780-9137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODSON",
"first_name": "BRIDGET",
"middle_name": "AMBER",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-15",
"last_updated": "2023-07-19",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "276509",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "110889",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "4683",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.