Carol Fox Gotham, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

70182 Issued in CO

Practice address

303 Colland Dr
Fort Collins, CO 80525-4205

Phone

(970) 461-8031

Fax

(970) 461-8932

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Big Thompson Medical Group Inc

  • Family Medicine Physician
  • Loveland, CO
  • NPI 1720011786
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1396770871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 E 18TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384209",
            "telephone_number": "970-663-0135",
            "fax_number": "970-461-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 COLLAND DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254205",
            "telephone_number": "970-461-8031",
            "fax_number": "970-461-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHAM",
        "first_name": "CAROL",
        "middle_name": "FOX",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "70182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37526545",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Gore
• Beitani Gorski
• Cole Gosar
• Marci Gosbee, RN
• Jodie Margeleine Goter, LPC
• Joseph M Gottfried, M.D.
• Jana Lynn Gottino, LMP,RN
• Mari Anne Gottlieb, MA-CCC SLP
• Samantha Ann Goudy, LCSW
• Emma Goulart, MSOM

• Family Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.