Chad Renard Gonzalez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002086874 Issued in VA

Practice address

433 Oliver City Rd
Warrenton, VA 20186-2018

Phone

(571) 330-9204

NPI assigned

Jun 18, 2019

Sex

Male

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

State licenses

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1265092555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3435",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201888035",
            "telephone_number": "571-330-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 OLIVER CITY RD",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862018",
            "telephone_number": "571-330-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHAD",
        "middle_name": "RENARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002086874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chad.r.gonzalez@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Personal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "433 Oliver City RD",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201862018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ken Evan Goldstein, D.P.M.
• Steven Jay Goldstein, DPM
• Michelle Goloborodko Birjandian, NCC; LPC
• Gregory S Golub, MD
• Carmen T Gonzalez, PHD
• Elizabeth Gordon, M.ED, CALT, CDT
• Katie Grazier
• Anna Hsieh Green, MD
• James S Green, PHARMD
• Viana Greene, FNP

• Licensed Practical Nurse in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.