Active NPI
Herece Anjeanette Golden, MS, OTR
- Occupational Therapist
- Temple, TX
National Provider Identifier
1023032224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103005
- Practice address
- 1901 S 1St St
Temple, TX 76504-7451 - Phone
- (254) 743-0962
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103005 | TX | Primary |
Addresses
Primary practice location
1901 S 1St St
Temple, TX 76504-7451
Mailing address
5801 Montrose Dr
Killeen, TX 76542-7579
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103005 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023032224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 MONTROSE DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765427579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S 1ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047451",
"telephone_number": "254-743-0962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "HERECE",
"middle_name": "ANJEANETTE",
"name_prefix": "Ms.",
"credential": "MS, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.