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

Stacia Larose Godboldt, CNM

Individual provider Advanced Practice Midwife · NPI 1356040018

Stacia Larose Godboldt, CNM is a Certified Nurse Midwife (CNM) in St Augustine, Florida. Qualified in 2022, 4 years ago. Practices with Florida Woman Care LLC, a 609-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

300 Health Park Blvd Ste 3002
St Augustine, FL 32086-3703
Phone: (904) 819-1500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X

Record details

NPI number1356040018
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorYes
NPI enumeratedMarch 1, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Florida Woman Care Llc — 609 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Augustine