Active NPI
Rosetta B. Goetz, F.N.P.
- Registered Nurse
- Fort Collins, CO
National Provider Identifier
1821182262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 57575
- Practice address
- 600 South Drive
Colorado State University
Fort Collins, CO 80521 - Phone
- (970) 491-7121
- NPI assigned
- Oct 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 57575 | CO | Primary |
Addresses
Primary practice location
600 South Drive
Colorado State University
Fort Collins, CO 80521
Mailing address
2939 Brookwood Place
Fort Collins, CO 80525
Phone (970) 226-2792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07575756 | 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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57575 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821182262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2939 BROOKWOOD PLACE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80525",
"telephone_number": "970-226-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SOUTH DRIVE",
"address_2": "COLORADO STATE UNIVERSITY",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80521",
"telephone_number": "970-491-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "ROSETTA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "57575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07575756",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.