Active NPI
Sandra J Golden, MPH,BHRS
- Counselor
- Wetumka, OK
National Provider Identifier
1609093095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 325 S Washita St
Wetumka, OK 74883-5522 - Phone
- (405) 452-1300
- Fax
- (405) 452-3802
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
325 S Washita St
Wetumka, OK 74883-5522
Mailing address
RR 1 Box 1011
Clearview, OK 74880-9504
Phone (405) 786-2635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100744410A | Medicaid | OK |
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": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1609093095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 1011",
"city": "CLEARVIEW",
"state": "OK",
"postal_code": "748809504",
"telephone_number": "405-786-2635",
"fax_number": "405-786-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S WASHITA ST",
"city": "WETUMKA",
"state": "OK",
"postal_code": "748835522",
"telephone_number": "405-452-1300",
"fax_number": "405-452-3802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "MPH,BHRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100744410A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wetumka, OK
- Cypress Place Living Center, LLC
- Andrea Davis, PA
- East Central Oklahoma Family Health Center, Inc.
- East Central Oklahoma Family Health Center, Inc.
- Steffanee Renee Edwards, NP
- Rebecca Helms, APRN
- Stephane Lynn Judd
- Rachel Lindemann, LPC, LADC
- Maple Place Living Center, LLC
- Martha B. Cordova RN Arnp PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.