Individual provider Active NPI

Nilda Liz Ramos Gonzalez, DC

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1346883949
Registry record updated Oct 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR.CH.60951602 Issued in WA
Practice address
6105 Fawcett Ave
Tacoma, WA 98408-6329
Phone
(787) 449-9486
NPI assigned
Oct 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR.CH.60951602 WA Primary

Addresses

Primary practice location

6105 Fawcett Ave
Tacoma, WA 98408-6329

Mailing address

6105 Fawcett Ave
Tacoma, WA 98408-6329
Phone (787) 449-9486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602003563 PR Practitioner - Chiropractic 0042632234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6105 Fawcett Ave
Tacoma, WA 98408-6329

PO Box
Suite 1052
Gurabo, PR 00778

PO Box
Suite 40
Aguas Buenas, PR 00703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR.CH.60951602WAMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1346883949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984086329",
            "telephone_number": "787-449-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984086329",
            "telephone_number": "787-449-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS GONZALEZ",
        "first_name": "NILDA",
        "middle_name": "LIZ",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.60951602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.