Individual provider Active NPI

Kia Renee Golden, FNP

  • Family Nurse Practitioner
  • Gretna, LA
National Provider Identifier
1407296767
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
208038 Issued in LA
Practice address
1141 Whitney Ave Ste 4
Gretna, LA 70056-5009
Phone
(504) 347-1120
Fax
(504) 347-1782
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 208038 LA Primary

Addresses

Primary practice location

1141 Whitney Ave Ste 4
Gretna, LA 70056-5009

Mailing address

1141 Whitney Ave Ste 4
Gretna, LA 70056-5009
Phone (504) 347-1120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kia.golden@bhgrecovery.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426003301 LA Practitioner - Nurse Practitioner 9234594268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lxii LLC CurrentSince Jan 6, 2023 Accepting new patients
BHG Lxii LLC Current Accepting new patients
BHG Lxii LLC CurrentSince Jan 6, 2023 Accepting new patients

Locations

1141 Whitney Ave
Ste 4
Gretna, LA 70056
Phone (504) 347-1120

2235 Poydras St
Unit B
New Orleans, LA 70119
Phone (504) 524-7205

1303 Line Ave
Ste 600
Shreveport, LA 71101
Phone (318) 425-3400

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1407296767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 WHITNEY AVE STE 4",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565009",
            "telephone_number": "504-347-1120",
            "fax_number": "504-347-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 WHITNEY AVE STE 4",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565009",
            "telephone_number": "504-347-1120",
            "fax_number": "504-347-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "KIA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "208038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kia.golden@bhgrecovery.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1141 Whitney Ave Ste 4",
            "city": "Gretna",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700565009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.