Corinne Gonzalez

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-2159 Issued in NV

Practice address

6351 N Fort Apache Rd
Las Vegas, NV 89149-2300

Phone

(702) 515-3000

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1184193187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "702-417-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 N FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891492300",
            "telephone_number": "702-515-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2052 Gravel Hill St Unit 105",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891176971",
            "country_code": "US",
            "telephone_number": "702-417-2717 x70241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2052 Gravel Hill St Unit 105",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891176971",
            "country_code": "US",
            "telephone_number": "702-417-2717 x70241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CORINNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": "OTA-2159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Gonzalez, DO
• Chritopher Manuel Gonzalez
• Clara Gonzalez
• Claudia Evelin Gonzalez
• Corina Marie Gonzalez
• Daniel Gonzalez
• Diana Gonzalez
• Diana Rosa Gonzalez
• Diego Gonzalez
• Dino Jude Gonzalez, M.D.

• Occupational Therapy Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.