Angel Colleen Gonzalez, RECRATIONAL THERAPY

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

2595 S Jones Blvd
Suite 2F
Las Vegas, NV 89146-0000

Phone

(702) 806-9143

NPI assigned

Aug 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1124747597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133653",
            "telephone_number": "253-365-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 S JONES BLVD",
            "address_2": "SUITE 2F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460000",
            "telephone_number": "702-806-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANGEL",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "RECRATIONAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Patricia Gonzalez, MPH RRT
• Ana Rosa Gonzalez
• Andrea Guadulape Gonzalez
• Andres Gonzalez
• Andy Gonzalez
• Angelin Gonzalez
• Anissa Teanna Gonzalez
• Arianna Gonzalez
• Arianna Gonzalez
• Arturo Gonzalez

• Recreation Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Recreation Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.