Individual provider Active NPI

Sofia Goli

  • Acute Care Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1780100891
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0993005-NP Issued in CO
Practice address
19245 E Smoky Hill Rd Unit a
Centennial, CO 80015-3122
Phone
(303) 468-8668
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Storms Allergy Clinic PC 12 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 190
Colorado Springs, CO 80907-8721
Phone (719) 955-6000

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
I20190327000492 CO Practitioner - Nurse Practitioner 5092055111 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William Storms Allergy Clinic PC CurrentSince Apr 29, 2024 Accepting new patients
William Storms Allergy Clinic PC CurrentSince Apr 29, 2024 Accepting new patients
Sinus & Allergy Specialists of Texas Past Accepting new patients

Locations

4535 Milestone Ln
Ste Bc
Castle Rock, CO 80104
Phone (720) 547-3151

19245 E Smoky Hill Rd
Unit A
Centennial, CO 80015
Phone (303) 468-8668

1625 Medical Center Pt
Ste 190
Colorado Springs, CO 80907
Phone (719) 345-1047

830 Tenderfoot Hill Rd
Ste 350
Colorado Springs, CO 80906
Phone (719) 345-1047

6160 Tutt Blvd
Ste 210
Colorado Springs, CO 80923
Phone (719) 345-1047

255 Union Blvd
Ste 400
Lakewood, CO 80228
Phone (720) 263-0214

13701 W Jewell Ave
Ste 101
Lakewood, CO 80228
Phone (303) 989-3192

1315 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 561-3795

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHEAAA/Endpoint/CHEAAA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0993005-NP CO Primary

Addresses

NPPES NPI Registry

Primary practice location

19245 E Smoky Hill Rd Unit a
Centennial, CO 80015-3122

Mailing address

5929 Balcones Dr Ste 200
Austin, TX 78731-4280
Phone (512) 550-1800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2024.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1780100891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "512-550-1800",
            "fax_number": "877-647-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19245 E SMOKY HILL RD UNIT A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153122",
            "telephone_number": "303-468-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLI",
        "first_name": "SOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0993005-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.