Organization Active NPI

Golden Heart Health & Wellness

  • Family Medicine Physician
  • Fairbanks, AK
National Provider Identifier
1447986955
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOLDEN HEART HEALTH & WELLNESS
Practice address
3550 Airport Way Ste 5
Fairbanks, AK 99709-4772
Phone
(907) 290-8430
Fax
(907) 205-4337
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Caroline Hutto, APRNNPI 1346754207
Title
Nurse Practitioner
Phone
(907) 290-8430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

Primary practice location

3550 Airport Way Ste 5
Fairbanks, AK 99709-4772

Mailing address

424 Henderson Rd S Unit B
Fairbanks, AK 99709-2415

Other practice location 1

424 Henderson Rd S Unit B
Fairbanks, AK 99709-2415
Phone (907) 290-8430

Other identifiers 2

IdentifierTypeStateIssuer
128999OtherAKSTATE OF ALASKA LICENSE NUMBER
158137OtherAKSTATE OF ALASKA LICENSE

Other names 1

  • Golden Heart Health & Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Clinic@goldenwellness.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220922002648 AK Part B Supplier - Clinic/Group Practice 0042695322 Receives reassigned benefits from 1 practitioner
Practice locations: Fairbanks, AK

National Provider Directory

National Provider Directory

Locations

3550 Airport Way
Ste 5
Fairbanks, AK 99709
Phone (907) 290-8430

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1447986955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HENDERSON RD S UNIT B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997092415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 AIRPORT WAY STE 5",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094772",
            "telephone_number": "907-290-8430",
            "fax_number": "907-205-4337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Henderson Rd S Unit B",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997092415",
            "country_code": "US",
            "telephone_number": "907-290-8430",
            "fax_number": "907-250-4337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN HEART HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "HUTTO",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "907-290-8430",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA LICENSE NUMBER",
            "identifier": "128999",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA LICENSE",
            "identifier": "158137",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Clinic@goldenwellness.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "424 Henderson Rd S Unit B",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997092415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Golden Heart Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Heart Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.