Sandra Gonzalez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

763304 Issued in NY

Practice address

41 White St
Brentwood, NY 11717-1439

Phone

(631) 525-8783

NPI assigned

Nov 7, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1205471869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WHITE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171439",
            "telephone_number": "631-525-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WHITE ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171439",
            "telephone_number": "631-525-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SANDRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "763304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.bufsd.org/",
            "affiliation": "N",
            "address_1": "41 White St",
            "city": "Brentwood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117171439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Goldstein
• Laura Gonzalez-Hill, LCSW-R
• Anna Gonzalez, RN
• Jelizsa Gonzalez, LPN
• Katharine Ann Gonzalez
• Stephanie April Gonzalez
• Latoya Amanda Gordon
• Tania Gordon
• Pratima Goyal, MD
• Judith U Graham Guerrier, LPN

• Registered Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.