KATELYN RAE GODLEY (NPI# 1396177002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396177002 |
| Entity Type | Individual |
| Full Name | KATELYN RAE GODLEY |
| Credential | LCAS-A |
| Practice Address |
1309 Tatum Dr New Bern NC 28560-4314 |
| Mailing Address |
4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 |
| Practice Telephone | 2526728742 |
| Practice Fax Number | 2526383742 |
| Mailing Telephone | 2528307540 |
| Mailing Fax Number | 2527520074 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3403-A | NC | Behavioral Health & Social Service Providers |
| Street Address |
1309 TATUM DR |
| City | NEW BERN |
| State | NC |
| Zip Code | 28560-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831129220 | Rickie Wade Ellis | Psychiatry & Neurology | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2006-07-03 |
| 1942812326 | Port Health Services | Pharmacy | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2020-08-18 |
| 1780150730 | Donyelle Bolds | Pharmacy Technician | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2018-10-17 |
| 1346734712 | Caroline Nicole Connor | Social Worker | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2018-06-19 |
| 1932622057 | Brooke Ann Kester | Social Worker | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2017-07-20 |
| 1538682653 | Kathleen Renee Foster | Social Worker | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2017-07-20 |
| 1346613965 | Sara Elizabeth Grissom | Counselor | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2015-11-04 |
| 1639560238 | Ashley Elizabeth Jones | Social Worker | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2015-02-18 |
| 1669877304 | Yashia Durham | Social Worker | 1309 Tatum Dr, Suite A and B, New Bern, NC 28560-4314 | 2014-10-23 |
| 1770988552 | Terin Renee Moore | Counselor | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2014-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898152 | Alec James Fields | Student in an Organized Health Care Education/Training Program | Cb 7121, 2086 Bondurant Hall, Chapel Hill, NC 28560 | 2020-10-09 |
| 1285270413 | Kelsey Miller | Social Worker | 2000 Doctor M.l.k. Jr Blvd, New Bern, NC 28560 | 2019-11-22 |
| 1568942399 | Siddharth Mourya | Physical Therapist | River Point Crest Nursing and Rehabilitation, 2600 Old Cherry Point Road, New Bern, NC 28560 | 2018-08-21 |
| 1194216713 | Genoa Healthcare, LLC | Pharmacy | 1309 Tatum Dr Ste 1, New Bern, NC 28560 | 2018-05-21 |
| 1134634561 | Eastern Carolina Young Men's Christian Association, Inc. | Health Educator | 100 Ymca Lane, New Bern, NC 28560 | 2017-12-07 |
| 1740725134 | Victoria Anne Sarbin | Audiologist | 2111 Neuse Blvd. Suite 1, New Bern, NC 28560 | 2016-12-21 |
| 1194193722 | Kriebel and Associates Pa | Clinic/Center | 3680 Neuse Blvd., New Bern, NC 28560 | 2015-09-14 |
| 1013308105 | Elizabeth Benton | Specialist | 3303 Highway 70 East, New Bern, NC 28560 | 2015-02-10 |
| 1386999068 | Allison Lang Snyder | Pharmacist | 1904 M L King Jr. Blvd., New Bern, NC 28560 | 2012-07-18 |
| 1144542606 | The Zannis Center for Plastic Surgery Pa | Clinic/Center | 2021 Neuse Blvd, New Bern, NC 28560 | 2010-02-24 |
| Find all providers in zip 28560 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921811 | Madison Floyd | Counselor | 303 Egret Cir, New Bern, NC 28562-4455 | 2018-05-08 |
| 1851773048 | Michelle Lee Dunham | Counselor | 1425 S Glenburnie Rd Ste 3, New Bern, NC 28562-2610 | 2015-06-24 |
| 1194134619 | Deborah Morefield | Counselor | 2314 Wild Turkey Rd, New Bern, NC 28562-9187 | 2014-08-08 |
| 1609296854 | Marcy Arnold | Counselor | 3537 M L King Jr Blvd # 215, New Bern, NC 28562-2209 | 2014-04-25 |
| 1154663706 | Cynthia Lewis Gaskins | Counselor | 1115 Fulcher Ln, New Bern, NC 28562-2413 | 2013-03-21 |
| 1972873032 | Alia Zyatta Grant | Counselor | 1917 Trent Blvd, New Bern, NC 28560-4537 | 2012-01-06 |
| 1073124095 | Ronald Dean Blanchard | Counselor | 1405a S Glenburnie Rd, New Bern, NC 28562-2603 | 2020-08-13 |
| 1699383299 | Katherine Lee Thompson | Counselor | 1403 Mccarthy Blvd, New Bern, NC 28562-2049 | 2020-07-20 |
| 1780159038 | Meredith Newman | Counselor | 800 Cardinal Rd, New Bern, NC 28562-5204 | 2018-10-12 |
| 1346613965 | Sara Elizabeth Grissom | Counselor | 1309 Tatum Dr, New Bern, NC 28560-4314 | 2015-11-04 |
| Find all providers in NEW BERN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.