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SOPHIA ROSE MAZUREK GOODCHILD
NPI 1366244246
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since March 24, 2025PECOS Enrolled
2020 E 28TH ST STE 104, MINNEAPOLIS, MN 55407(612) 333-0770 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sophia Rose Mazurek Goodchild NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA ROSE MAZUREK GOODCHILD (NPI 1366244246) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366244246
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOPHIA ROSE MAZUREK GOODCHILD
Location Address2020 E 28TH ST STE 104Minneapolis, MN 55407-1925
Mailing Address2020 E 28th St Ste 104Minneapolis, MN 55407-1925 · (612) 333-0770
Phone(612) 333-0770
Sole ProprietorYes
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1366244246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2020 E 28TH ST STE 104, Minneapolis, MN 55407
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Rose Mazurek Goodchild is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ELIZA SUKHARAN MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (763) 330-0770
ALEXANDER JAMES HART MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
CARLY MARIE NORDEN MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
DR. SARAH COPELAS DO
Family Medicine
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 330-0770
VICTORIA KASPRZAK
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
DR. ALEXANDRA ZINNEN MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
ANNIKA JEAN BALLANTYNE MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770
JAGNEET KAUR MD
Student in an Organized Health Care Education/Training Program
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407
Hennepin County (612) 333-0770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Goodchild's NPI number?

The NPI number for Sophia Goodchild is 1366244246. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Sophia Goodchild located?

Sophia Goodchild practices at 2020 E 28th St Ste 104, Minneapolis, MN 55407. The listed phone number is (612) 333-0770.

What is Sophia Goodchild's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sophia Goodchild enrolled in Medicare?

Yes. Sophia Goodchild is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Goodchild was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.