Individual provider Active NPI

Nicole Teresa Goitia, MSN, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1578124947
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
C-APN.0003419-C-NP Issued in CO
Practice address
730 W Hampden Ave Ste 200
Englewood, CO 80110-2129
Phone
(720) 974-7466
Fax
(303) 953-7274
NPI assigned
Jun 25, 2019
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177770 VA
Adult Health Nurse Practitioner 363LA2200X 0024177770 VA
Gerontology Nurse Practitioner 363LG0600X 0024177770 VA
Primary Care Nurse Practitioner 363LP2300X 0024177770 VA
Adult Health Nurse Practitioner 363LA2200X C-APN.0003419-C-NP CO Primary

Addresses

Primary practice location

730 W Hampden Ave Ste 200
Englewood, CO 80110-2129

Mailing address

750 W Hampden Ave Ste 105
Englewood, CO 80110-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190828003396 DC Practitioner - Nurse Practitioner 3870821812 Reassigns benefits to 1 organization
I20220408002319 CO Practitioner - Nurse Practitioner 3870821812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Gastroenterology Associates, PLLCGroup PAC ID 5991797532, 37 clinicians

Practice addresses (Care Compare)

10001 Washington St
Thornton, CO 80229-2050
Phone (303) 252-4442

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 21, 2019 Accepting new patients
Rocky Mountain Gastroenterology Associates, PLLC CurrentSince Oct 3, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 21, 2019 Accepting new patients

Locations

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

10001 Washington St
Uppr
Thornton, CO 80229
Phone (303) 252-4442

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

3650 Joseph Siewick Dr
Ste 204
Fairfax, VA 22033
Phone (703) 264-0521

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1578124947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W HAMPDEN AVE STE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102129",
            "telephone_number": "720-974-7466",
            "fax_number": "303-953-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOITIA",
        "first_name": "NICOLE",
        "middle_name": "TERESA",
        "credential": "MSN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177770",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024177770",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024177770",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024177770",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "C-APN.0003419-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.