Kathleen Anne Gouldy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0102212-NP Issued in CO

Practice address

3455 Lutheran Pkwy Ste 105
Wheat Ridge, CO 80033-6028

Phone

(303) 665-2603

Fax

(303) 665-2605

NPI assigned

Dec 3, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgouldy3327898@adventhealth.direct-ci.com

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.

• Intermountain Front Range, Inc.

  dba Intermountain Lutheran Hospital - APC

  • Internal Medicine Physician
  • Wheat Ridge, CO
  • NPI 1083444079
  Medicare reassignment NPD
• Orthopedic Centers of Colorado, LLC

  dba Perioperative Medicine Care Center

  • Orthopaedic Surgery Physician
  • Denver, CO
  • NPI 1801339502
  Medicare reassignment NPD
• Intermountain Front Range, Inc.

  dba Lutheran Hospital - Breast Care Center

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  NPD
• Intermountain Front Range, Inc.

  dba Cancer Centers of Colorado - Lutheran Medical Center - Radiation Onc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wheat Ridge, CO
  • NPI 1649210188
  NPD
• Orthopedic Centers of Colorado, LLC

  • Orthopaedic Surgery Physician
  • Superior, CO
  • NPI 1336870856
  NPD

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851573612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY STE 105",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-665-2603",
            "fax_number": "303-665-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY STE 105",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-665-2603",
            "fax_number": "303-665-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W 144th Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239328",
            "country_code": "US",
            "telephone_number": "303-665-2603",
            "fax_number": "303-665-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULDY",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0102212-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily C Gorton
• Michael William Goss, D.D.S.
• Gael Gossage
• Chelsea Goston
• Sarah Gould
• Sandra Gourd, RMT, CH
• Robert Governski, PHARMB
• Emily Grados, PSYD
• Megan M Graeser, APRN-BC
• Heather Martina Graeve, DPT

• Family Nurse Practitioner in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.