Active NPI
Jennifer Marie Gonzalez, CNIM, R.EP.T
- Electroneurodiagnostic Specialist/Technologist
- Scottsdale, AZ
National Provider Identifier
1558080671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 1703
- Practice address
- 8655 E Via de Ventura Ste E160
Scottsdale, AZ 85258-3395 - Phone
- (480) 596-1686
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1703 | AZ | Primary |
Addresses
Primary practice location
8655 E Via de Ventura Ste E160
Scottsdale, AZ 85258-3395
Mailing address
8655 E Via de Ventura Ste E160
Scottsdale, AZ 85258-3395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1703 | Other | AZ | ABRET |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jisbell@stsiom.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1703 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensory Testing Systems, LLC | Single Specialty | Current | Accepting new patients |
Locations
8655 E Via de Ventura
Ste E160
Scottsdale, AZ 85258
Phone (480) 247-3747
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.
-
- Clinical Neurophysiology Physician
- Scottsdale, AZ
- NPI 1750487096
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1558080671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8655 E VIA DE VENTURA STE E160",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8655 E VIA DE VENTURA STE E160",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583395",
"telephone_number": "480-596-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "CNIM, R.EP.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "AZ",
"license": "1703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABRET",
"identifier": "1703",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jisbell@stsiom.com",
"affiliation": "N",
"endpointDescription": "secure email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "8655 E Via De Ventura Ste E160",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852583395",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.