Willie B Golden Jr., CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

49019812782 Issued in IN

Practice address

3011 N Franklin Rd
SMC Corporation of America
Indianapolis, IN 46226-6308

Phone

(317) 603-3668

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902923956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 RENN LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542300",
            "telephone_number": "317-387-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 N FRANKLIN RD",
            "address_2": "SMC CORPORATION OF AMERICA",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462266308",
            "telephone_number": "317-603-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "WILLIE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "49019812782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Golden
• Kenneth J Golden, D.C.
• Maxwell Perry Golden, B.S.
• Serquitto Nycole Golden, MS
• Shenay Golden
• David Goldenberg, M.D.
• Brandon Golder
• Jeffrey Golder, DDS
• Peter Golder
• Joan Ann Goldfarb, M.S. OTR

• Nurse's Aide in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse's Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.