Active NPI
Lauren Bruno Godfrey, APN
- Family Nurse Practitioner
- Swarthmore, PA
National Provider Identifier
1972732659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP010896
- Practice address
- 500 College Ave
Swarthmore, PA 19081-1306 - Phone
- (610) 328-8058
- Fax
- (610) 690-5724
- NPI assigned
- Jul 2, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F335496-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | SP010896 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | LG-0000561 | DE |
Addresses
Primary practice location
500 College Ave
Swarthmore, PA 19081-1306
Mailing address
500 College Ave
Swarthmore, PA 19081-1306
Phone (610) 328-8058
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000561 | DE | MD | Family Nurse Practitioner |
| F335496-1 | NY | MD | Family Nurse Practitioner |
| SP010896 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Management of Sepa | Past | Accepting new patients | |
| Swarthmore College Student Health Service | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Health Associates
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1417946633
-
- Health Service Clinic/Center
- Swarthmore, PA
- NPI 1578750428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1972732659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 COLLEGE AVE",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190811306",
"telephone_number": "610-328-8058",
"fax_number": "610-690-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COLLEGE AVE",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190811306",
"telephone_number": "610-328-8058",
"fax_number": "610-690-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODFREY",
"first_name": "LAUREN",
"middle_name": "BRUNO",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F335496-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP010896",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swarthmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.