Active NPI
Trace-Ann Gooden, FNP
- Family Nurse Practitioner
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0998930
- Practice address
- 9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048 - Phone
- (303) 269-4410
- Fax
- (303) 269-4411
- NPI assigned
- Jul 24, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0998930 | CO | Primary |
Addresses
Primary practice location
9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048
Mailing address
7830 S Kittredge Cir
Englewood, CO 80112-4643
Phone (407) 732-9580
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797
9403 Crown Crest Blvd
Suite 300
Parker, CO 80138-9048
Phone (303) 770-0500
9403 Crown Crest Blvd 300 ENT
Etpk ENT PKR
Parker, CO 80138-9048
Phone (720) 274-2544
Hospital & facility affiliations
- AdventHealth Parker
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0998930 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Past | Accepting new patients |
Locations
9403 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 269-4410
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
Interoperability endpoints
- tgooden1948773@adventhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Family Medicine Physician
- Parker, CO
- NPI 1851735260
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- Obstetrics & Gynecology Physician
- Aurora, CO
- NPI 1811289366
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1083461438
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1265072706
-
- General Acute Care Hospital
- Parker, CO
- NPI 1386651297
-
- General Acute Care Hospital
- Parker, CO
- NPI 1457148140
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1922648534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718409600000",
"number": "1619657582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7830 S KITTREDGE CIR",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801124643",
"telephone_number": "407-732-9580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 CROWN CREST BLVD STE 300",
"city": "PARKER",
"state": "CO",
"postal_code": "801389048",
"telephone_number": "303-269-4410",
"fax_number": "303-269-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "TRACE-ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2024-06-15",
"certification_date": "2024-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0998930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.