Edmond Godbout, PA
NPI 1710991955 · Physician Assistant · Providence, RI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edmond Godbout, PA is a Physician Assistant provider in Providence, RI (NPI 1710991955).
Provider details
- NPI number
- 1710991955
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA00090 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2010-02-19
Frequently asked questions
- What is Edmond Godbout's NPI number?
- Edmond Godbout's National Provider Identifier (NPI) is 1710991955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edmond Godbout's specialty?
- Edmond Godbout is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Edmond Godbout located?
- Edmond Godbout's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Edmond Godbout's phone number?
- The practice phone number listed in the NPPES registry for Edmond Godbout is (401) 519-1604.
- Does Edmond Godbout accept Medicare?
- Edmond Godbout is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edmond Godbout's NPI active?
- Yes — Edmond Godbout's NPI (1710991955) is active in the NPPES registry as of the last update on 2010-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.