Individual provider Active NPI

Katherine Mary Goggins, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northglenn, CO
National Provider Identifier
1972209161
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0998404-NP Issued in CO
Practice address
11990 Grant St Ste 550
Northglenn, CO 80233-1101
Phone
(720) 799-5799
Fax
(720) 293-9945
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

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.

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0998404-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Wellness Associates CurrentSince Feb 1, 2023 Accepting new patients
Denver Wellness Associates CurrentSince Aug 25, 2024 Accepting new patients
Sage Psychiatry PLLC Psychiatric/Mental Health CurrentSince Nov 17, 2024 Accepting new patients
Denver Wellness Associates PastSince Sep 10, 2023 Accepting new patients

Locations

801 N Weber St
Ste 205
Colorado Springs, CO 80903
Phone (208) 867-5066

300 S Jackson St
Ste 240
Denver, CO 80209
Phone (717) 215-3471

1435 Garrison St
Ste 100
Lakewood, CO 80215
Phone (510) 735-6529

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0998404-NP CO Primary

Addresses

NPPES NPI Registry

Primary practice location

11990 Grant St Ste 550
Northglenn, CO 80233-1101

Mailing address

11990 Grant St Ste 550
Northglenn, CO 80233-1101
Phone (720) 799-5799

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2024.

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1972209161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 550",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331101",
            "telephone_number": "720-799-5799",
            "fax_number": "720-293-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 550",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331101",
            "telephone_number": "720-799-5799",
            "fax_number": "720-293-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGGINS",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2024-07-11",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0998404-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.