Active NPI
Jacqueline Marie Gonzalez, AUD
- Audiologist
- Phoenix, AZ
National Provider Identifier
1063219400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 31158
- Practice address
- 3805 E Bell Rd
Phoenix, AZ 85032-2105 - Phone
- (602) 688-6500
- NPI assigned
- Feb 25, 2025
- Last updated
- Mar 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA15980 | AZ | |
| Audiologist | 231H00000X | 31158 | OR | Primary |
Addresses
Primary practice location
3805 E Bell Rd
Phoenix, AZ 85032-2105
Mailing address
7892 S Stephanie LN
Tempe, AZ 85284-1340
Phone (480) 721-9366
Other practice location 1
6320 W Union Hills Dr Ste 170
Glendale, AZ 85308-7152
Phone (602) 688-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2501 Cottontail LN
Somerset, NJ 08873-5125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA15980 | AZ | MD | Audiologist |
| 31158 | OR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Valley Ear, Nose & Throat Associates, P.C | Past | Accepting new patients |
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hearinglife
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
OR
-
- Otolaryngology Physician
- Phoenix, AZ
- NPI 1457493165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1063219400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7892 S STEPHANIE LN",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841340",
"telephone_number": "480-721-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322105",
"telephone_number": "602-688-6500"
}
],
"practiceLocations": [
{
"address_1": "6320 W Union Hills Dr Ste 170",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853087152",
"country_code": "US",
"telephone_number": "602-688-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA15980",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "31158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.