Active NPI
Hazel Joy Camit Gonzalez, APRN
- Family Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013800
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4530
- Fax
- (859) 258-4870
- NPI assigned
- May 28, 2020
- Last updated
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013800 | KY | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 1140163 | KY |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 258-4000
713 Main St
Suite a
Shelbyville, KY 40065-1239
Phone (804) 877-6601
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1140163 | KY | MD | Medical-Surgical Registered Nurse |
| 3013800 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonycares Complete Health Services, PLLC | Current | Accepting new patients | |
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| New Lexington Clinic PSC | Current | Accepting new patients | |
| Family Practice Clinic of Booneville, Inc. | Current | Accepting new patients | |
| CHM Mobile Care | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Family | Current | Accepting new patients |
| Mountain Family Practice Clinic of Manchester Inc | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| Grace Community Health Center, Inc. | Past | Accepting new patients |
Locations
200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701
100 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 258-5300
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233
3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866
3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701
713 Main St
Ste A
Shelbyville, KY 40065
Phone (804) 877-6601
Interoperability endpoints
- hazel.camitgonzalez@krogerhealth.eclinicaldirectplus.com
- hazel.joy.gonzalez.1@13059.direct.athenahealth.com
- https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Shelbyville, KY
- NPI 1568348225
-
dba Lexington Clinic
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- Rural Health Clinic/Center
- Booneville, KY
- NPI 1326152109
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1689919078
-
- Family Medicine Physician
- Lexington, KY
- NPI 1639318520
-
dba HarmonyCares Health Services
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
KY
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
dba Grace Health
- Federally Qualified Health Center (FQHC)
- Corbin, KY
- NPI 1316645344
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health of Kentucky
- Home Health Agency
- Lexington, KY
- NPI 1215434907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1295358927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4530",
"fax_number": "859-258-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "HAZEL JOY",
"middle_name": "CAMIT",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013800",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "KY",
"license": "1140163",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.