Active NPI
Hailey Goza
- Registered Nurse
- Kilgore, TX
National Provider Identifier
1487570594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 804732
- Practice address
- 1612 S Henderson Blvd
Kilgore, TX 75662-3518 - Phone
- (903) 983-2110
- NPI assigned
- Jun 24, 2026
- Last updated
- Jun 24, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 804732 | TX | Primary |
Addresses
Primary practice location
1612 S Henderson Blvd
Kilgore, TX 75662-3518
Mailing address
1612 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 720-8498
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1487570594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 S HENDERSON BLVD",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623518",
"telephone_number": "903-720-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 S HENDERSON BLVD",
"city": "KILGORE",
"state": "TX",
"postal_code": "756623518",
"telephone_number": "903-983-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOZA",
"first_name": "HAILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "TX",
"license": "804732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kilgore, TX
- La Tamera D Fry, LAT
- Darrell Layne Ganus, MED, LAT, ATC
- Michael Gardner, D.D.S.
- Get to the Point Wellness PLLC
- Shirley Jane Goetze, CCC/SLP
- Paul A Grant Jr, MD
- Grant-Moore Center for Behavioral Health, Inc.
- Christopher Richard Gratton, D.C., P.C.
- Gloria Salazar Gray, RN, FNP-C
- Leslie N Greenhouse, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.