Individual provider Active NPI

Trace-Ann Gooden, FNP

  • Family Nurse Practitioner
  • Parker, CO
National Provider Identifier
1619657582
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0998930 Issued in CO
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

Updated by the provider on Jun 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024002482 CO Practitioner - Nurse Practitioner 0547793812 Reassigns benefits to 1 organization

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
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

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 Hospital, Parker, CO, CCN 060114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0998930COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Aug 11, 2024 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Aug 11, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.