Jollisa Rene Gonzalez

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

800 Q St
Gering, NE 69341-2972

Phone

(308) 436-3123

NPI assigned

Nov 17, 2022

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Gering Public Schools

  • State or Local Public Health Clinic/Center
  • Gering, NE
  • NPI 1881337459
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1134838147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412818",
            "telephone_number": "308-436-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 Q ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412972",
            "telephone_number": "308-436-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOLLISA",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@geringschools.net",
            "affiliation": "N",
            "address_1": "800 Q St",
            "city": "Gering",
            "state": "NE",
            "country_code": "US",
            "postal_code": "693412972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gering Public Schools
• Gering Vision Center, P.C.
• Ceyenne Goin
• Alicia Y Gonzales-Longoria, APRN
• Faith Rose Gonzales I
• James Theodore Grant Jr.
• Lisa Guel
• Laurie A Gurney
• Anna L Gurrola
• Stephanie June Hahn

• Attendant Care Provider in Gering, NE
• Providers in Gering, NE by specialty
• Attendant Care Provider in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.