Idalia Itali Urias Gonzales, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

274028 Issued in AZ

Practice address

1130 E Missouri Ave
Phoenix, AZ 85014-2718

Phone

(602) 283-4711

Fax

(602) 671-4260

NPI assigned

Apr 22, 2022

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 identifiers 1

Other names 1

• Mrs. Idalia Itali Urias-Gonzales 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": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1598409971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142718",
            "telephone_number": "602-283-4711",
            "fax_number": "602-671-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142718",
            "telephone_number": "602-283-4711",
            "fax_number": "602-671-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIAS GONZALES",
        "first_name": "IDALIA",
        "middle_name": "ITALI",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-11-23",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "274028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "84-4869956",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDALIA",
            "last_name": "URIAS-GONZALES",
            "middle_name": "ITALI",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Urgent Pain, LLC
• Urgentmed House Call LLC
• Arlene Uriarte, RN
• Cinthia Uriarte, FNP
• Naydelin Uriarte, RBT
• Christine Joyce Nera Urias, RN, NNP
• George Urias
• Elizabeth Uribe
• Juan S Uribe, MD
• Krystle L Uribe, DPT

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.