Individual provider Active NPI

Steffie S Goodman, PHD, CNM

  • Advanced Practice Midwife
  • Boulder, CO
National Provider Identifier
1043349830
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
96481 Issued in CO
Practice address
University of Colorado Boulder
119 Ucb, 1900 Wardenburg Drive
Boulder, CO 80309-5101
Phone
(303) 492-2030
Fax
(303) 735-3544
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 96481 CO Primary

Addresses

Primary practice location

University of Colorado Boulder
119 Ucb, 1900 Wardenburg Drive
Boulder, CO 80309-5101

Mailing address

University of Colorado Boulder
119 Ucb, 1900 Wardenburg Drive
Boulder, CO 80309-5101
Phone (303) 492-2030

Other identifiers 1

IdentifierTypeStateIssuer
07964810MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
96481COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of Colorado Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1043349830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF COLORADO BOULDER",
            "address_2": "119 UCB, 1900 WARDENBURG DRIVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803095101",
            "telephone_number": "303-492-2030",
            "fax_number": "303-735-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF COLORADO BOULDER",
            "address_2": "119 UCB, 1900 WARDENBURG DRIVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803095101",
            "telephone_number": "303-492-2030",
            "fax_number": "303-735-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "STEFFIE",
        "middle_name": "S",
        "credential": "PHD, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "96481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07964810",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.