Individual provider Active NPI

Katherine Lee Godfrey Benaron, FNP

  • Family Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1952027369
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95022819 Issued in CA
Practice address
517 W Junipero St
Santa Barbara, CA 93105-4239
Phone
(805) 682-8844
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95022819 CA Primary

Addresses

Primary practice location

517 W Junipero St
Santa Barbara, CA 93105-4239

Mailing address

517 W Junipero St
Santa Barbara, CA 93105-4239
Phone (805) 324-8335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240508002726 CA Practitioner - Nurse Practitioner 7517308547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022819CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic PastSince Apr 28, 2024 Accepting new patients
SCRC Medical Group PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherine.godfrey@9985070071812.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1952027369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054239",
            "telephone_number": "805-324-8335",
            "fax_number": "805-898-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054239",
            "telephone_number": "805-682-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENARON",
        "first_name": "KATHERINE",
        "middle_name": "LEE GODFREY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95022819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.