Individual provider Active NPI

Sara Dawn Gonzalez, APN-C

  • Family Nurse Practitioner
  • Delta, CO
National Provider Identifier
1548099534
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0999938-NP Issued in CO
Practice address
789 Albany St
Delta, CO 81416-6400
Phone
(307) 321-2743
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0999938-NP CO Primary

Addresses

Primary practice location

789 Albany St
Delta, CO 81416-6400

Mailing address

789 Albany St
Delta, CO 81416-6400
Phone (307) 321-2743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030003852 CO Practitioner - Nurse Practitioner 7214460104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0999938-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Grove Family Practice, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3096 I 70 Business
Unit D
Grand Junction, CO 81504
Phone (970) 314-2805

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20477/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sara.gonzalez.1@20477.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1548099534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 ALBANY ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814166400",
            "telephone_number": "307-321-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 ALBANY ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814166400",
            "telephone_number": "307-321-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "SARA",
        "middle_name": "DAWN",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0999938-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.