Miranda Leigh Gonzalez, APN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277.002519 Issued in IL

Practice address

201 N University St
Campus Box 2540
Normal, IL 61790-2540

Phone

(309) 438-8655

NPI assigned

Aug 14, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1376919167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617900001",
            "telephone_number": "309-660-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY ST",
            "address_2": "CAMPUS BOX 2540",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617902540",
            "telephone_number": "309-438-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MIRANDA",
        "middle_name": "LEIGH",
        "credential": "APN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.002519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Gingerich, CRNA
• Joan Ellen Gjesfjeld, LICSW
• Catherine Gleason-Dintaman, CRNA
• Joshua Goetze, PT, DPT
• Rebecca L Golladay, OTR-L
• Ajeet D Gordhan, M.D.
• Tammy Gordon, RN
• Panna U Goswami, MD
• Grace Medical Transport LLC
• Jeffrey Graham, MA, LCPC

• Family Nurse Practitioner in Normal, IL
• Providers in Normal, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.