IMELDA GODBOLD (NPI# 1780836395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780836395 |
| Entity Type | Individual |
| Full Name | IMELDA GODBOLD |
| Credential | RN |
| Practice Address |
420 W 4th St Suite 100-a Mishawaka IN 46544-1948 |
| Mailing Address |
6864 Fir Rd Bremen IN 46506-9718 |
| Practice Telephone | 5742520317 |
| Practice Fax Number | 5744723694 |
| Mailing Telephone | 5743426015 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
28170434A | IN | Nursing Service Providers |
| Street Address |
420 W 4TH ST SUITE 100-A |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043266653 | Dale Dennis Deardorff | Family Medicine | 420 W 4th St, Suite 180, Mishawaka, IN 46544-1948 | 2006-05-25 |
| 1952913279 | Joshua Daniel Avery | Nurse Practitioner | 420 W 4th St, Mishawaka, IN 46544-1948 | 2020-08-18 |
| 1013546266 | Monica A Rivers | Pharmacist | 420 W 4th St, Mishawaka, IN 46544-1948 | 2020-04-08 |
| 1740811264 | Kristen Michelle Bessler | Pharmacist | 420 W 4th St, Mishawaka, IN 46544-1948 | 2020-02-03 |
| 1922648476 | Healthlinc Pharmacy LLC | Pharmacy | 420 W 4th St, Mishawaka, IN 46544-1948 | 2020-01-13 |
| 1275041865 | Samantha Lynn Jester | Advanced Practice Midwife | 420 W 4th St, Mishawaka, IN 46544-1948 | 2018-01-17 |
| 1851748693 | Erica Garrett | Advanced Practice Midwife | 420 W 4th St, Mishawaka, IN 46544-1948 | 2016-05-23 |
| 1104281583 | Ashley Marie Thiele | Internal Medicine | 420 W 4th St, Mishawaka, IN 46544-1948 | 2015-12-29 |
| 1023487428 | Jana Schenkel | Advanced Practice Midwife | 420 W 4th St, Mishawaka, IN 46544-1948 | 2015-09-16 |
| 1306241187 | Debra Ellen Neubauer | Registered Nurse | 420 W 4th St, Mishawaka, IN 46544-1948 | 2014-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295935880 | Carol Ann Banks | Registered Nurse | 420 W Fourth Street, Suite 100-a, Mishawaka, IN 46544-1948 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558842369 | Amanda Marie Boyd | Registered Nurse | 23 N Rural St Apt 101, Indianapolis, IN 46201-3279 | 2018-08-29 |
| 1164949285 | John David Hrab | Registered Nurse | 51596 State Road 933, South Bend, IN 46637-1704 | 2017-08-29 |
| 1184169591 | Jennifer Lee Barber | Registered Nurse | 705 Riley Hospital Dr Rm 5880, Indianapolis, IN 46202-5109 | 2016-12-21 |
| 1598021503 | Deborah Ann Mcglasson | Registered Nurse | 8155 Century Cir W, Suite A, Indianapolis, IN 46260-2584 | 2012-04-03 |
| 1437474905 | Danielle M Thomas | Registered Nurse | 11419 Little Rock Ct, Fishers, IN 46037-8448 | 2010-03-29 |
| 1407170152 | Lori K Mccoy | Registered Nurse | 3044 Drewersburg Rd, West Harrison, IN 47060-9641 | 2010-03-24 |
| 1053504613 | Marlene Louise Cron | Registered Nurse | 499 W State Road 62, Boonville, IN 47601-9169 | 2007-08-27 |
| 1740378389 | Yolanda Gelaine Washington | Registered Nurse | 325 N Lafayette Blvd, South Bend, IN 46601-1208 | 2006-10-10 |
| 1033206396 | Frances S. Straeffer | Registered Nurse | 420 Mulberry Street, Oak Park Professional Bldg, Evansville, IN 47713-1231 | 2006-10-06 |
| 1962594689 | Lisa Anne Bell | Registered Nurse | 12740 Red Gate Rd, Evansville, IN 47725-9230 | 2006-09-29 |
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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.