Organization Active NPI

Sozaragroupllc

Doing business as Sozara Health and Longevity

  • Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1982512380
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SOZARAGROUPLLC
Doing business as
Sozara Health and Longevity
Practice address
54 Los Lagos Blvd
Palm Coast, FL 32137-2323
Phone
(904) 887-4951
NPI assigned
Aug 28, 2026
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Kathryn M Goodson, FNP-BC
Title
Partner/ Clinic Director
Phone
(904) 887-4951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

54 Los Lagos Blvd
Palm Coast, FL 32137-2323

Mailing address

54 Los Lagos Blvd
Palm Coast, FL 32137-2323
Phone (904) 887-4951

Other names 1

  • Sozara Health and Longevity Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1982512380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LOS LAGOS BLVD",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372323",
            "telephone_number": "904-887-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LOS LAGOS BLVD",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372323",
            "telephone_number": "904-887-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZARAGROUPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "GOODSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "904-887-4951",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sozara Health and Longevity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.