Mrs. Kelly Ann Godberson is a Medford, New York based nurse practitioner with 8 years of experience in . She completed her graduation in 2017. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mrs. Kelly Ann Godberson is 308240 in New York. Her current practice location is 3115 Horseblock Rd, Medford. Patients can reach her at 631-730-3000. Mrs. Kelly Ann Godberson is NP and her NPI number (Unique professional ID assigned by NPPES) is 1053833962. Mrs. Kelly Ann Godberson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Kelly Ann Godberson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1557635927
Enrollment ID:
I20170922003171
NPI Number:
1053833962
NPI Enumeration Date:
12 Jul, 2017
NPI Last Update On:
12 Jul, 2017
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kelly Ann Godberson are as mentioned below.
License Number
Specialization
State
Status
308240
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kelly Ann Godberson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
308240
Other
New York
NURSE PRACTIONER LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Kelly Ann Godberson 32 Marlin Rd, Centereach, New York
Zip:
11720-3012
Phone Number:
631-698-2823
Patients can reach Mrs. Kelly Ann Godberson at 3115 Horseblock Rd, Medford, New York or can call to book an appointment on 631-730-3000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.