Jose Manuel Gonzalez-Martinez, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GONZ-UYV3E Issued in NC

Practice address

147 Lee Trace Dr
Smithfield, NC 27577-9519

Phone

(818) 390-3071

NPI assigned

Oct 11, 2021

Last updated

Oct 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1447912100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 LEE TRACE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779519",
            "telephone_number": "818-390-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 LEE TRACE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779519",
            "telephone_number": "818-390-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "GONZ-UYV3E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Godwin
• Randy W. Godwin I, DISPENSING OPTICIAN
• Daree Elaine Russell Goings, M.D.
• Nicole Brooks Goins, MS, OTR/L
• Jessica Goldberg
• Sarah Ann Gonzalez, ACNP-BC, APRN
• Mary Ellen Gordon
• Varun Goswami, MD
• Merrie Beth Gough
• Ted Graham, PT

• Family Nurse Practitioner in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.