Godly Hand - House Calls LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GODLY HAND - HOUSE CALLS LLC

Practice address

221 N Hogan St # 320
Jacksonville, FL 32202-4201

Phone

(912) 464-2998

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Yolanda Evette Stafford, FNP

Title

Family Nurse Practitioner

Phone

(912) 464-2998

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1972111797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N HOGAN ST # 320",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024201",
            "telephone_number": "912-464-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N HOGAN ST # 320",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024201",
            "telephone_number": "912-464-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODLY HAND - HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "912-464-2998",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Soap",
            "affiliation": "N",
            "endpointDescription": "Soap",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "221 N Hogan St # 320",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322024201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corey Charles Goddeyne, MD
• Alyssa Maria Godek
• Jamilah Godfrey
• Rayna Vaught Godfrey, PH.D.
• Nickolas T Godley, PA-C
• Godly Hands Support Services LLC
• Marina Godo
• Catherine Elaine Godoy, APRN
• Gods House of Solomon
• Jon-Keyth Craig Godwin, O.D.

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.