Active NPI
Kaitesi Gilbert Bgoya, CNA
- Nurse's Aide
- Larned, KS
National Provider Identifier
1013803121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 263784
- Practice address
- Larned State Hospital
1301 KS-264
Larned, KS 67550 - Phone
- (620) 285-2131
- NPI assigned
- Jun 16, 2025
- Last updated
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 263784 | KS | Primary |
Addresses
Primary practice location
Larned State Hospital
1301 KS-264
Larned, KS 67550
Mailing address
519 Main St
Larned, KS 67550-3053
Phone (316) 768-0299
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263784 | KS | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Care Homes | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Assisted Living Facility
- Wichita, KS
- NPI 1043191430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1013803121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 MAIN ST",
"city": "LARNED",
"state": "KS",
"postal_code": "675503053",
"telephone_number": "316-768-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LARNED STATE HOSPITAL",
"address_2": "1301 KS-264",
"city": "LARNED",
"state": "KS",
"postal_code": "67550",
"telephone_number": "620-285-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BGOYA",
"first_name": "KAITESI",
"middle_name": "GILBERT",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2025-06-16",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "KS",
"license": "263784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Larned, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.