Active NPI
Kathleen M. Gonzalez, L.AC.
- Acupuncturist
- Berwyn Heights, MD
National Provider Identifier
1376782383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01702
- Practice address
- 5613 Goucher Dr
Berwyn Heights, MD 20740-2611 - Phone
- (301) 345-7385
- Fax
- (301) 345-6242
- NPI assigned
- Feb 13, 2009
- Last updated
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01702 | MD | Primary |
Addresses
Primary practice location
5613 Goucher Dr
Berwyn Heights, MD 20740-2611
Mailing address
5613 Goucher Dr
Berwyn Heights, MD 20740-2611
Phone (301) 345-7385
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 |
|---|---|---|---|
| U01702 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1376782383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5613 GOUCHER DR",
"city": "BERWYN HEIGHTS",
"state": "MD",
"postal_code": "207402611",
"telephone_number": "301-345-7385",
"fax_number": "301-345-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5613 GOUCHER DR",
"city": "BERWYN HEIGHTS",
"state": "MD",
"postal_code": "207402611",
"telephone_number": "301-345-7385",
"fax_number": "301-345-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KATHLEEN",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.