Selene Veronica Gonzalez

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

5242 W Jessica LN
Laveen, AZ 85339-2447

Phone

(602) 753-8389

NPI assigned

Jun 25, 2013

Last updated

May 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Valley Travelers Social Exploration Inc.

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1467864140
  Authorized official Same address or phone
• Valley Travelers Social Exploration Inc.

  dba Valley Travelers

  • Developmentally Disabled Services Day Training Agency
  • Laveen, AZ
  • NPI 1508206343
  NPD (past) Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1144660994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 W JESSICA LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392447",
            "telephone_number": "602-753-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 W JESSICA LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392447",
            "telephone_number": "602-753-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SELENE",
        "middle_name": "VERONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871070",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gila River Health Care Corporation (Komatke Health Center)
• Gila River Indian Community Department of Human Services
• Ginaped Health Care Services
• Global Health Az
• Global Learning Academic Center, LLC (A-Z Mentor Programs)
• Good Health Medical, PLLC (My Dr Now)
• Good Hope Resources Inc
• Good Hope Resources Inc
• Akeya Gosla
• Kevin Graff, MS ATC

• Attendant Care Provider in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Attendant Care Provider in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.