Deborah Ann Gonzales

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

Practice address

11215 W Nevada Ave
Ste C
Youngtown, AZ 85363-1244

Phone

(623) 847-8839

Fax

(623) 847-8838

NPI assigned

Jun 19, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2015.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1376925883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 W SILVER SAGE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855740",
            "telephone_number": "623-847-8839",
            "fax_number": "623-847-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 W NEVADA AVE",
            "address_2": "STE C",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631244",
            "telephone_number": "623-847-8839",
            "fax_number": "623-847-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Engaging Life Center
• Engaging Life Integrated Wellness Center
• Kate Engels
• Alina Feliciano
• Marcia Feliciano
• Benjamin Handler, DPT
• Mancy Howard Jr., LPCC
• Michelle Hutchison, M.C., LPC
• Innerquest LLC
• John C. Lincoln, LLC

• All providers in Youngtown, AZ
• Research Study Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.