Tanisha Gonzalez, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

300 Niagara St
Buffalo, NY 14201-2135

Phone

(716) 242-8600

NPI assigned

Oct 21, 2021

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

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Center of Wny, Inc.Group PAC ID 5193794972, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanisha.gonzalez.1@26491.direct.athenahealth.com

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.

• Neighborhood Health Center of Wny, Inc.

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1881789014
  Medicare reassignment Care Compare group NPD
• Neighborhood Health Center of Wny, Inc.

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1821467226
  NPD

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1124781570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "716-875-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012135",
            "telephone_number": "716-242-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Elmview Ave",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140753762",
            "country_code": "US",
            "telephone_number": "716-648-4345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Lawn Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142071816",
            "country_code": "US",
            "telephone_number": "716-875-2904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4233 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Blasdell",
            "state": "NY",
            "postal_code": "142191216",
            "country_code": "US",
            "telephone_number": "716-332-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TANISHA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Buffalo",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "155 Lawn Ave",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142071816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "blasdell",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4233 Lake Ave",
            "city": "Blasdell",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142191216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Buffalo",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "300 Niagara St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142012135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hamburg",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "151 Elmview Ave",
            "city": "Hamburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140753762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daisy Gonzalez, LMHC-P
• Jessica Gonzalez
• Marylou Gonzalez
• Melanie Ivette Gonzalez, MS OTR/L
• Misty Lynn Gonzalez, PHARM.D.
• Yoly Maricel Gonzalez, DDS, MS
• Julianne Gooch, RN
• Good Samaritan Home Health Agency, Inc.
• Sandra Ann Goodall
• Brittany Megan Goodfellow, RN

• Registered Dietitian in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.

Verify at the official NPI Registry.