Alicia Maria Gonzalez, MSN, RN, CS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

069496 Issued in NC

Practice address

400 Crutchfield St
Suite C
Durham, NC 27704-2771

Phone

(919) 471-6501

Fax

(919) 471-2211

NPI assigned

Apr 6, 2007

Sex

Female

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

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1518089713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRUTCHFIELD ST",
            "address_2": "SUITE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042771",
            "telephone_number": "919-471-6501",
            "fax_number": "919-471-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRUTCHFIELD ST",
            "address_2": "SUITE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042771",
            "telephone_number": "919-471-6501",
            "fax_number": "919-471-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALICIA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "069496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miraida Gomez, LCSWA
• Michael Joseph Goncalves, MD
• Jabez Gondokusumo, MD
• Jillian Gonyea, LAT, ATC
• Lazaro Gonzales Jr., PA-C
• Gabriel Alexandro Gonzalez, DMD
• Gema Gonzalez, ARNP
• Katherine Gonzalez, MD
• Lauren Gonzalez, M.D.
• Natalia Gonzalez, MD

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Durham, NC
• Providers in Durham, NC by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.