MS. SHANDELLA RENEE GODFREY LPN
NPI 1710260906
Licensed Practical Nurse in Cincinnati, OH

Active since September 23, 2011
2645 BELLEVUE AVE, 2, CINCINNATI, OH 45219(513) 884-9101 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About SHANDELLA GODFREY

This page provides the complete NPI Profile along with additional information for Shandella Godfrey, a provider established in Cincinnati, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1710260906 assigned on September 2011. The practitioner's primary taxonomy code is 164W00000X with license number PN.142387-M-IV (OH). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1710260906 Verify this NPI
Provider Name
MS. SHANDELLA RENEE GODFREY LPN
Gender
Female
Entity Type
Individual
Location Address
2645 BELLEVUE AVE 2 CINCINNATI, OH 45219
Location Phone
(513) 884-9101
Mailing Address
2645 BELLEVUE AVE 2 CINCINNATI, OH 45219
Mailing Phone
(513) 884-9101
Is Sole Proprietor?
Yes
Enumeration Date
09-23-2011
Last Update Date
08-28-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
PN.142387-M-IV
License State
OH
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710260906, enumerated as an "individual" on September 23, 2011.

The provider is located at 2645 BELLEVUE AVE 2 CINCINNATI, OH 45219 and the phone number is (513) 884-9101.

Licensed Practical Nurse with taxonomy code 164W00000X.