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MS. BEATRICE LEE GODBOULDT PA-C
NPI 1457406241
Physician Assistant - Medical in Las Vegas, NV

Active since January 24, 2007PECOS Enrolled
821 N NELLIS BLVD, LAS VEGAS, NV 89110(702) 438-4003(702) 438-0555 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Beatrice Lee Godbouldt Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BEATRICE LEE GODBOULDT PA-C (NPI 1457406241) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA1710) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457406241
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. BEATRICE LEE GODBOULDTCredential: PA-C
Location Address821 N NELLIS BLVDLas Vegas, NV 89110-5339
Mailing AddressPo Box 98978Las Vegas, NV 89193-8978 · (702) 216-3346 · Fax (702) 671-6883
Phone(702) 438-4003
Fax(702) 438-0555
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMarch 17, 2017
✔ NPI 1457406241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NV · PA1710
Also ListedEmergency MedicineTaxonomy 207P00000X · License PA12936 (CA)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA12936 (CA)
821 N NELLIS BLVD, Las Vegas, NV 89110
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type UnspecifiedW809ACA · Roybal
Medicare ID-Type UnspecifiedW809BCA · Hudson
Medicaid1457406241NV
Medicare ID-Type UnspecifiedW809FCA · El Monte
Medicare PINPENDINGNV
Medicare ID-Type UnspecifiedW932CA · Health Center

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Beatrice Lee Godbouldt Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRICIA BERNICE MURPHY M.D.
Internal Medicine
821 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 438-4003
DR. W. JUD FISHER D.O.
Family Medicine
821 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 438-4003
PR ACQUISITION CORPORATION
Clinic/Center (Rehabilitation)
821 N NELLIS BLVD, STE 130
LAS VEGAS, NV 89110
Clark County (702) 452-4563
LYNN EDWARD KASCH FNP-BC
Nurse Practitioner (Family)
821 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 438-4003
DR. DAVID M RIVAS DO
Family Medicine
821 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 438-4003
BARBARA ROSSO
Physical Therapist
821 N NELLIS BLVD, STE 130
LAS VEGAS, NV 89110
Clark County (702) 452-4563
MICHAEL KEITH SMITH LAT, ATC
Specialist/Technologist (Athletic Trainer)
821 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 452-4563
HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD.
Internal Medicine
821 N NELLIS BLVD
LAS VEGAS, NV 89110
Clark County (702) 438-4003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beatrice Godbouldt's NPI number?

The NPI number for Beatrice Godbouldt is 1457406241. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Beatrice Godbouldt located?

Beatrice Godbouldt practices at 821 N Nellis Blvd, Las Vegas, NV 89110. The listed phone number is (702) 438-4003.

What is Beatrice Godbouldt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Beatrice Godbouldt enrolled in Medicare?

Yes. Beatrice Godbouldt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beatrice Godbouldt was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.