NPI 1699308460 · live from the CMS NPI Registry
Golden Health Initiative INC
Nurse Practitioner, Primary Care in Phoenix, AZ. National Provider Identifier 1699308460, active.
NPI record
| NPI | 1699308460 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 16515 S 40th St Ste 135, Phoenix, AZ 85048 |
| Practice phone | 480-231-1240 |
| Mailing address | 909 W Grove Pkwy Apt 1015, Tempe, AZ 85283 |
| Enumerated | February 19, 2020 |
| Last updated | July 23, 2025 |
| Authorized official | Richard Golden, Chief Executive Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, School | 1041S0200X | — |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | — |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | — |
| Health & Wellness Coach | 171400000X | — |
| Peer Specialist | 175T00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Nurse Practitioner, Primary Care primary | 363LP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.