Active NPI
Kristy Marie Gonzales, RN
- Registered Nurse
- Hibbing, MN
National Provider Identifier
1366700676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 202730-8
- Practice address
- 2104 6TH Ave E
Hibbing, MN 55746-1821 - Phone
- (218) 262-6675
- Fax
- (218) 262-6677
- NPI assigned
- Apr 25, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 202730-8 | MN | Primary |
Addresses
Primary practice location
2104 6TH Ave E
Hibbing, MN 55746-1821
Mailing address
3927 12TH Ave E
Hibbing, MN 55746-3668
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 202730-8 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1366700676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3927 12TH AVE E",
"city": "HIBBING",
"state": "MN",
"postal_code": "557463668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 6TH AVE E",
"city": "HIBBING",
"state": "MN",
"postal_code": "557461821",
"telephone_number": "218-262-6675",
"fax_number": "218-262-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "KRISTY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 202730-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.