Individual provider Active NPI

Juanita Nicole Golden-Allen, APN

  • Acute Care Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1831686633
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1059740 Issued in TX
Practice address
3801 S National Ave
Springfield, MO 65807-5210
Phone
(417) 875-3000
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 28217110A IN
Acute Care Nurse Practitioner 363LA2100X 71007958A IL
Acute Care Nurse Practitioner 363LA2100X 2021029675 MO
Acute Care Nurse Practitioner 363LA2100X 1059740 TX Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 1059740 TX

Addresses

Primary practice location

3801 S National Ave
Springfield, MO 65807-5210

Mailing address

437 E 78TH LN
Merrillville, IN 46410-5612
Phone (219) 306-9633

Other identifiers 1

IdentifierTypeStateIssuer
420100120MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221003001206 TX Practitioner - Nurse Practitioner 7012268667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5703 White Birch Run
Spring, TX 77386-3845
Phone (219) 306-9633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007958AILMDAcute Care Nurse Practitioner
2021029675MOMDAcute Care Nurse Practitioner
1059740TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woundtech of Texas CurrentSince Sep 26, 2022 Accepting new patients
Prime Healing Solutions PLLC Acute Care CurrentSince Jul 1, 2025 Accepting new patients
Refuah Healthcare Texas Inc CurrentSince Aug 13, 2024 Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300

5850 San Felipe St
Ste 500
Houston, TX 77057
Phone (281) 823-7108

Interoperability endpoints

  • Direct secure messaging: jgoldenallen394590@directhoustonmethodist.org

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1831686633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 E 78TH LN",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105612",
            "telephone_number": "219-306-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-875-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN-ALLEN",
        "first_name": "JUANITA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "28217110A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "71007958A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2021029675",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1059740",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1059740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420100120",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.