CADIE GODFREY (NPI# 1659752301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659752301 |
| Entity Type | Individual |
| Full Name | CADIE GODFREY |
| Credential | FNP-C |
| Practice Address |
4200 Whitehall Dr Suite 150 Ann Arbor MI 48105-9694 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 - Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7349950308 |
| Practice Fax Number | 7349950425 |
| Mailing Telephone | 7347476766 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704288120 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4200 WHITEHALL DR SUITE 150 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309734 | Barbara L Burkardt | Midwife | 4200 Whitehall Dr, Ste 330, Ann Arbor, MI 48104-1142 | 2005-07-14 |
| 1114381357 | Iha Health Services Corporation | Pediatrics | 4200 Whitehall Dr, Suite 240, Ann Arbor, MI 48105-9694 | 2016-04-13 |
| 1184093064 | Iha Health Services Corporation | Lactation Consultant, Non-RN | 4200 Whitehall Dr, Suite 230, Ann Arbor, MI 48105-9694 | 2015-09-21 |
| 1942604335 | Galen Engel | Registered Nurse | 4200 Whitehall Dr, Ste 150, Ann Arbor, MI 48105-9694 | 2014-10-15 |
| 1033550926 | Stephanie Catherine Gillman | Physician Assistant | 4200 Whitehall Dr, Suite 130, Ann Arbor, MI 48105-9694 | 2013-07-09 |
| 1831536895 | Yiding Cai | Internal Medicine | 4200 Whitehall Dr, Suite 130, Ann Arbor, MI 48105-9694 | 2013-05-31 |
| 1992071302 | Jeremy Joseph Taliercio | Emergency Medicine | 4200 Whitehall Dr, Suite 150, Ann Arbor, MI 48105-9694 | 2012-03-29 |
| 1235405820 | Shivani Patel | Dermatology | 4200 Whitehall Dr, Suite 250, Ann Arbor, MI 48105-9694 | 2012-03-28 |
| 1861773301 | Sarah Ball Hakala | Advanced Practice Midwife | 4200 Whitehall Dr, Suite 350, Ann Arbor, MI 48105-9694 | 2011-08-29 |
| 1932495827 | Julie Ellyn Mervak | Dermatology | 4200 Whitehall Dr, Ste 250, Ann Arbor, MI 48105-9694 | 2011-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123857 | Catherine Elizabeth Renner | Nurse Practitioner | 24 Frank Lloyd Wright Dr Lbby L, Ann Arbor, MI 48105-9484 | 2020-08-05 |
| 1043844574 | Courtney Joy Young | Nurse Practitioner | 3071 Signature Blvd Apt E, Ann Arbor, MI 48103-6489 | 2020-02-24 |
| 1093350290 | Justin M Wilbert | Nurse Practitioner | 24 Frank Lloyd Wright Dr # L2300, Ann Arbor, MI 48105-9484 | 2019-11-12 |
| 1821585613 | Jessica Marie Fakhoury | Nurse Practitioner | 1000 E Stadium Blvd Ste 1, Ann Arbor, MI 48104-4616 | 2018-04-17 |
| 1962900241 | Kimberly Jumpp-mehta | Nurse Practitioner | 2100 Springwood Ct, Ann Arbor, MI 48103-2396 | 2018-01-31 |
| 1255765582 | Sarah Pope | Nurse Practitioner | 1014 Island Drive Ct, Apt. 104, Ann Arbor, MI 48105-2027 | 2013-08-22 |
| 1265676233 | Mary Elizabeth Markle | Nurse Practitioner | 412 Longshore Dr, Ann Arbor, MI 48105-1624 | 2009-04-22 |
| 1316004609 | Nancy Agnes Prince | Nurse Practitioner | 1516 Bardstown Trl, Ann Arbor, MI 48105-2876 | 2007-01-03 |
| 1316056005 | Lori Joy Bennett | Nurse Practitioner | 2364 Bishop Ave, Ann Arbor, MI 48105-2248 | 2006-08-29 |
| 1265478176 | Gaia Kile | Nurse Practitioner | 210 Little Lake Dr, Suite 10, Ann Arbor, MI 48103-6218 | 2006-06-20 |
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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.