Active NPI
Veronica Gonzalez
- Licensed Practical Nurse
- Queen Creek, AZ
National Provider Identifier
1306386115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP045599
- Practice address
- 733 E Angeline Ave
Queen Creek, AZ 85140 - Phone
- (602) 578-4274
- Fax
- (480) 264-7022
- NPI assigned
- Feb 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP045599 | AZ | Primary |
Addresses
Primary practice location
733 E Angeline Ave
Queen Creek, AZ 85140
Mailing address
733 E Angeline Ave
Queen Creek, AZ 85140-4185
Phone (602) 578-4274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP045599 | AZ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1306386115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 E ANGELINE AVE",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851404185",
"telephone_number": "602-578-4274",
"fax_number": "480-264-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 E ANGELINE AVE",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85140",
"telephone_number": "602-578-4274",
"fax_number": "480-264-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "LP045599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.