Lissa L Gonzalez, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN67319 Issued in WV

Practice address

6350 US Route 60 E
Barboursville, WV 25504

Phone

(304) 399-3350

Fax

(304) 955-5047

NPI assigned

Dec 10, 2009

Last updated

May 28, 2024By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Pittsburgh School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Health Systems, IncGroup PAC ID 9931017969, shared by 41 NPIs, 110 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
• Direct secure messaging: lgonzalez20258@valleyhealthsystems.direct-ci.com

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.

• Valley Health Systems Inc

  dba Valley Health East Huntington Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1720333461

  Nurse Practitioner

  Medicare reassignment NPD
• Valley Health Systems Inc

  dba Valley Health Highlawn

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1902962368

  Nurse Practitioner

  Medicare reassignment NPD
• Valley Health Systems, Inc.

  dba Valley Health Oakwood Road

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1013577303
  Medicare reassignment NPD
• Valley Health Systems, Inc.

  dba Valley Health Milton

  • Federally Qualified Health Center (FQHC)
  • Milton, WV
  • NPI 1548542277
  Medicare reassignment NPD
• Valley Health Systems, Inc.

  dba Valley Health FoodFair Rt 60

  • Federally Qualified Health Center (FQHC)
  • Barboursville, WV
  • NPI 1659733293
  Medicare reassignment NPD
• Valley Health Systems, Inc.

  dba Valley Health Teays Valley

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1659769776
  Medicare reassignment NPD
• Valley Health Systems, Inc.

  dba Valley Health Point Pleasant

  • Federally Qualified Health Center (FQHC)
  • Point Pleasant, WV
  • NPI 1912693458
  Medicare reassignment NPD
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1740450089
  Medicare reassignment NPD
• Valley Health Systems Inc

  • Clinical Medical Laboratory
  • Huntington, WV
  • NPI 1023083854
  NPD
• Valley Health Systems Inc

  dba Valley Health Hospital Services

  • Obstetrics & Gynecology Physician
  • Huntington, WV
  • NPI 1184699415
  NPD
• Valley Health Systems Inc

  dba Valley Health Hurricane

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1225154206
  NPD
• Valley Health Systems Inc

  dba Cabell Midland Health Center

  • Federally Qualified Health Center (FQHC)
  • Ona, WV
  • NPI 1417923236
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Charleston Area Medical Center Inc

  • Psychiatric Hospital Unit
  • Charleston, WV
  • NPI 1265421226
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1427904002
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1508712118
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • Rehabilitation Hospital Unit
  • Charleston, WV
  • NPI 1639168693
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1689520264
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Fayetteville, WV
  • NPI 1932055589
  Care Compare affiliation
• Charleston Area Medical Center Inc

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1952390239
  Care Compare affiliation
• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Care Compare affiliation
• Charleston Area Medical Center, Inc.

  dba CAMC Pharmacy #3

  • Community/Retail Pharmacy
  • Charleston, WV
  • NPI 1134518186

  Hospital

  Care Compare affiliation
• Charleston Area Medical Center, Inc.

  dba CAMC GVMC Physician Department

  • Hospitalist Physician
  • Ronceverte, WV
  • NPI 1972125995
  Care Compare affiliation
• Charleston Medical Center, Inc.

  • General Acute Care Hospital
  • Fayetteville, WV
  • NPI 1174479513
  Care Compare affiliation

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1356670939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-399-3350",
            "fax_number": "304-955-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Dunbar",
            "state": "WV",
            "postal_code": "250643420",
            "country_code": "US",
            "telephone_number": "304-766-3323",
            "fax_number": "304-720-4821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255268712",
            "country_code": "US",
            "telephone_number": "304-757-8683",
            "fax_number": "304-757-8684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Alexander Street",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "WV",
            "postal_code": "25309",
            "country_code": "US",
            "telephone_number": "304-595-1770",
            "fax_number": "304-595-3298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LISSA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN67319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023589",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Gold
• Amber Golden
• Kristen Lee Golden, MSW
• Erica Goldsborough
• Alexis Gonzales
• Deanayah Goode
• Keyana Goode
• Brittany Goodlett
• Ashley Goodman
• Brylee Goodman

• Nurse Practitioner in Barboursville, WV
• Providers in Barboursville, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.

Verify at the official NPI Registry.