Active NPI
Sheila L. Goetz, M.A. CCC-SLP
- Speech-Language Pathologist
- Boulder, CO
National Provider Identifier
1528046497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 825 S Broadway St
Boulder, CO 80305-5932 - Phone
- (303) 440-0952
- NPI assigned
- Jan 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
825 S Broadway St
Boulder, CO 80305-5932
Mailing address
655 Pleasant St
Boulder, CO 80302-6923
Phone (303) 440-0952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94681384 | Medicaid | CO |
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheila Goetz, M.a., CCC & Associates, Inc. | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Boulder, CO
- NPI 1487853818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1528046497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 PLEASANT ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026923",
"telephone_number": "303-440-0952",
"fax_number": "303-440-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S BROADWAY ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055932",
"telephone_number": "303-440-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "SHEILA",
"middle_name": "L.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-02",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94681384",
"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 Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.