Benita Gonzales, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703081394 Issued in MI

Practice address

308 S Mountain St
Bay City, MI 48706-4253

Phone

(989) 930-7522

NPI assigned

Jun 24, 2021

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

Other names 1

• Benits Decatur Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1518536440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S MOUNTAIN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064253",
            "telephone_number": "989-930-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S MOUNTAIN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064253",
            "telephone_number": "989-930-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "BENITA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703081394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENITS",
            "last_name": "DECATUR",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca A Gohm, LPN
• Judith Goik
• Golden L Services LLC
• Linda Gail Goltz, D.D.S.
• Charles Gonzales-Lauderdale
• Markus Gonzales
• Olivia Renee Gonzales
• Minerva Gonzalez
• Velencia Gonzalez
• Madison Goodwin

• Licensed Practical Nurse in Bay City, MI
• Providers in Bay City, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.