Individual provider Active NPI

Garrett Thomas Goff, RN, BSN, NIH

  • Psychiatric/Mental Health Registered Nurse
  • Colorado Springs, CO
National Provider Identifier
1518598010
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
980416 Issued in TX
Practice address
2135 Southgate Rd
Colorado Springs, CO 80906-2693
Phone
(719) 329-5300
NPI assigned
Feb 3, 2020
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 980416 TX
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 980416 TX
Home Health Registered Nurse 163WH0200X 1667133 CO
Psychiatric/Mental Health Registered Nurse 163WP0808X 980416 TX Primary

Addresses

Primary practice location

2135 Southgate Rd
Colorado Springs, CO 80906-2693

Mailing address

2620 Grand Vista Cir Apt 110
Colorado Springs, CO 80904-5253
Phone (214) 726-6105

Other practice location 1

2270 La Montana Way
Colorado Springs, CO 80918-6715
Phone (254) 212-6743

Other identifiers 3

IdentifierTypeStateIssuer
980416OtherTXREGISTERED NURSE LIC. TEXAS BON (ORIGINAL ISSUING AGENCY)
RN.1667133OtherCOREGISTERED NURSE LICENSE
NJDCATEMP-000803OtherNJREGISTERED PROFESSIONAL NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garrettgoff@mailfence.com Direct

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
980416TXMDAddiction (Substance Use Disorder) Registered Nurse
1667133COMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Peaks Recovery Centers LLC PastSince Feb 1, 2020 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, 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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1518598010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 GRAND VISTA CIR APT 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809045253",
            "telephone_number": "214-726-6105",
            "fax_number": "469-533-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SOUTHGATE RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809062693",
            "telephone_number": "719-329-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 La Montana Way",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186715",
            "country_code": "US",
            "telephone_number": "254-212-6743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFF",
        "first_name": "GARRETT",
        "middle_name": "THOMAS",
        "credential": "RN, BSN, NIH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "980416",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "980416",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CO",
            "license": "1667133",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "980416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LIC. TEXAS BON (ORIGINAL ISSUING AGENCY)",
            "identifier": "980416",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "RN.1667133",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "NJDCATEMP-000803",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garrettgoff@mailfence.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted & Secured Endpoint Messaging & Exchange HIE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2620 Grand Vista Cir Apt 110",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809045253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.