Golden Ketamine and Wellness

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

GOLDEN KETAMINE AND WELLNESS

Practice address

20310 Pebble Holw
Richmond, TX 77407-4182

Phone

(713) 965-7592

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Ndipetta Sylvia Egbe

Title

Director

Phone

(713) 965-7592

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ndipetta Sylvia Egbe

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1225262843

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1093562324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20310 PEBBLE HOLW",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074182",
            "telephone_number": "713-965-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20310 PEBBLE HOLW",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074182",
            "telephone_number": "713-965-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN KETAMINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "EGBE",
        "authorized_official_first_name": "NDIPETTA SYLVIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-965-7592"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goldcoast Pharmaceuticals Inc
• Golden Acres Homehealth LLC
• Golden Age Health Solutions LLC
• Golden Care Home Health LLC
• Golden Elevate Medical Supplies LLC
• Golden Oaks Medical Supplies LLC
• Golden Royaleagle Corp.
• Golden Royaleagle Corp.
• Golden Touch Children'S Center
• Shunatta Golden, PROVIDER MA

• Certified Registered Nurse Anesthetist in Richmond, TX
• Providers in Richmond, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.