Stephanie Nikole Gonzalez

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

PENDING Issued in FL

Practice address

18560 SW 52ND St
Miramar, FL 33029-6250

Phone

(954) 805-3533

NPI assigned

Jul 11, 2019

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

Other identifiers 1

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1568014306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18560 SW 52ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296250",
            "telephone_number": "954-805-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18560 SW 52ND ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296250",
            "telephone_number": "954-805-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STEPHANIE",
        "middle_name": "NIKOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE BOARD OF NURSING",
            "identifier": "9389804",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Laura Gonzalez I
• Marysabel Gonzalez
• Mercedes M Gonzalez
• Richelle Anellyse Gonzalez
• Sabrina Elyz Gonzalez, APRN
• Good Hearts Home Care, LLC
• Good Shepherd Psychiatric Consultant, Inc
• Crystal Gail Goodland, OTR/L
• Muhammad Rizwan Goraya, PMHNP
• Chelsea C Gordner, DO/MPH

• Adult Health Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.