Elizabeth Marie Gonzalez Thompson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

775 Fleischmann Way
Carson City, NV 89703-2995

Phone

(775) 445-7773

NPI assigned

Dec 30, 2020

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

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Carson Tahoe Regional Healthcare

  • General Acute Care Hospital
  • Carson City, NV
  • NPI 1255360160
  Medicare reassignment

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1235726605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 DESERT LN",
            "city": "STAGECOACH",
            "state": "NV",
            "postal_code": "894299211",
            "telephone_number": "775-301-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 FLEISCHMANN WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032995",
            "telephone_number": "775-445-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ THOMPSON",
        "first_name": "ELIZABETH MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golla Home
• Golla Home
• Jack Gary Golla, QBA
• Jean Caroline Golla, QBA
• Bailey Michelle Gonzales, CADC, PRSS-S
• Eric Gonzalez
• Jesse Gonzalez Jr.
• Randall Goode, MD
• Courtney Goodnight, LPN
• Angelika Goodson, CADC-I

• Case Manager/Care Coordinator in Carson City, NV
• Providers in Carson City, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.