COLLEEN KING GOODE LLC
NPI 1679255889
Nurse Practitioner - Family in Towson, MD
About Colleen King Goode Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN KING GOODE LLC (NPI 1679255889) is a healthcare organization registered as a family in Towson, Maryland and active in the NPI registry since August 2023. The organization lists Colleen Goode, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colleen King Goode Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Colleen King Goode LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Colleen King Goode LLC's NPI number?
The NPI number for Colleen King Goode LLC is 1679255889. It was assigned to this organization in the NPPES registry on August 7, 2023.
Where is Colleen King Goode LLC located?
Colleen King Goode LLC is located at 660 Kenilworth Dr Ste 203, Towson, MD 21204. The listed phone number is (443) 814-9108.
What is Colleen King Goode LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Colleen King Goode LLC enrolled in Medicare?
Yes. Colleen King Goode LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colleen King Goode LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Colleen King Goode LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Colleen King Goode LLC was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Colleen King Goode Llc · NPI 1679255889
Family organization in Towson, Maryland. Organization record, active in the CMS NPPES registry since August 7, 2023.
## Identity
- **NPI:** 1679255889 (Entity type: Organization)
- **Enumerated:** August 7, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Colleen Goode, OWNER
## Practice location
- **Address:** 660 KENILWORTH DR STE 203, Towson, MD 21204-2354
- **Phone:** (443) 814-9108 · **Fax:** (205) 723-1441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679255889) · Data from the CMS NPPES public registry.