Ivonne Gonzalez Hermosillo

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

309141 Issued in KY

Practice address

3761 Johnson Hall Dr
Masonic Home, KY 40041-9998

Phone

(502) 633-1007

NPI assigned

Aug 21, 2025

Last updated

Jun 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1295612083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-321-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 JOHNSON HALL DR",
            "city": "MASONIC HOME",
            "state": "KY",
            "postal_code": "400419998",
            "telephone_number": "502-633-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ HERMOSILLO",
        "first_name": "IVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "309141",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-010080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalyn Evette Crump
• Jolie Dandurand
• Mackenzie Dial, RBT
• Kylie Rae Dombrosky, MED, BCBA, LBA
• Fresenius Medical Care Masonic Homes, LLC (Fresenius Medical Care Masonic Home)
• Shannon Marie Gostel
• Connor Brooks Hagan, BS, RBT
• Madison Jo Hammond
• Carly Savannah Hanks, RBT
• James Austin Hawkins, PT

• Occupational Therapist in Masonic Home, KY
• Providers in Masonic Home, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.