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

Spencer Godfrey

Individual provider Family Nurse Practitioner · NPI 1073062295

Spencer Godfrey is a Nurse Practitioner in Lewiston, Idaho. Practices with Community Health Association of Spokane, a 223-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1203 Idaho St
Lewiston, ID 83501-1940
Phone: (208) 848-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 62319 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60693813 (WA)

Record details

NPI number1073062295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address611 N Iron Bridge Way, Spokane, WA 99202-4932

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Group practice Community Health Association Of Spokane — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lewiston