Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kendall Godt

Individual provider Registered Nurse · NPI 1487338406

Kendall Godt is a Nurse Practitioner in Centereach, New York. Qualified in 2023, 3 years ago. Practices with Eric Spronz, Psychiatric Nurse Practitioner PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2539 Middle Country Rd
Centereach, NY 11720-3551
Phone: (631) 737-6434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F405021-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 796294 (NY)

Record details

NPI number1487338406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 10, 2023
Mailing address645 Belle Terre Rd Apt 76, Port Jefferson, NY 11777-1943

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Eric Spronz, Psychiatric Nurse Practitioner P.C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Centereach