Individual provider Active NPI

Julie Goldberg, FNP

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1386341543
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0100537-C-NP Issued in CO
Practice address
6169 S Balsam Way Ste 200
Littleton, CO 80123-3062
Phone
(720) 408-7736
NPI assigned
Feb 8, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0100537-C-NP CO Primary
Family Nurse Practitioner 363LF0000X 26NJ01431100 NJ

Addresses

Primary practice location

6169 S Balsam Way Ste 200
Littleton, CO 80123-3062

Mailing address

13111 W Mississippi CT Apt 307
Lakewood, CO 80228-3478
Phone (551) 206-8271

Other practice location 1

196 Speedwell Ave
Morristown, NJ 07960-2934
Phone (973) 539-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002444 CO Practitioner - Nurse Practitioner 5799128153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Broadway Family Practice LLCGroup PAC ID 7012385404, 3 clinicians

Practice addresses (Care Compare)

7391 S Costilla St
Littleton, CO 80120-3928
Phone (720) 936-2011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0100537-C-NPCOMDFamily Nurse Practitioner
26NJ01431100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Family Practice LLC Family CurrentSince Dec 19, 2023 Accepting new patients

Locations

6169 S Balsam Way
#200
Littleton, CO 80123

6169 S Balsam Way
Ste 200
Littleton, CO 80123
Phone (720) 408-7736

Interoperability endpoints

  • Direct secure messaging: julie.goldberg.1@26962.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1386341543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 W MISSISSIPPI CT APT 307",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283478",
            "telephone_number": "551-206-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S BALSAM WAY STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233062",
            "telephone_number": "720-408-7736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Speedwell Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079602934",
            "country_code": "US",
            "telephone_number": "973-539-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JULIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0100537-C-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01431100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.