Sandra Lee Brommeland Gonzalez, APRN-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP 5139 Issued in LA

Practice address

1101 Audubon Ave
Thibodaux, LA 70301-4957

Phone

(985) 857-3615

Fax

(941) 295-7336

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Psychiatric Solutions LLC

  • Adult Mental Health Clinic/Center
  • Thibodaux, LA
  • NPI 1184913451
  Medicare reassignment NPD Authorized official
• Alignment Health, LLC

  • Psychiatry Physician
  • Houma, LA
  • NPI 1528335627
  NPD (past)
• Regions Community Behavorial Health Center of Houma, Inc.

  • Mental Health Counselor
  • Houma, LA
  • NPI 1407050131
  NPD (past)
• The Lousiana Health and Wellness Group L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gray, LA
  • NPI 1629290473
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1053428342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BAYOU DULARGE RD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637614",
            "telephone_number": "985-872-3550",
            "fax_number": "941-295-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957",
            "telephone_number": "985-857-3615",
            "fax_number": "941-295-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMMELAND GONZALEZ",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP 5139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022004",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca M Breaux, NP
• Sharon C Breaux
• Tanya M. Breaux
• Madeline Briggs, LABA
• Mary Ann Briscoe, M.ED - COUNSELOR
• Maureen Brooks, ATC
• Broom Investments
• Adrienne Elizabeth Broussard, PA
• James V Broussard, MD
• Brianna Lanai Brown

• Psychiatric/Mental Health Nurse Practitioner in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.