Raquel I. Gonzalez Roepke, FNP-C, M.S.N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN200412 Issued in GA

Practice address

771 Old Norcross Rd
Suite 120
Lawrenceville, GA 30046-4386

Phone

(770) 670-6923

Fax

(770) 670-6927

NPI assigned

Jun 6, 2013

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

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Rodriguez MD, LLC

  • Family Medicine Physician
  • Lawrenceville, GA
  • NPI 1568778306
  Medicare reassignment NPD

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1609214147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITE 120",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464386",
            "telephone_number": "770-670-6923",
            "fax_number": "770-670-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITE 120",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464386",
            "telephone_number": "770-670-6923",
            "fax_number": "770-670-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ROEPKE",
        "first_name": "RAQUEL",
        "middle_name": "I.",
        "credential": "FNP-C, M.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN200412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136160A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andreina Gomez
• Esther Gomez
• Stephanie C Gomez, FNP-C
• Steven L Goninan, D.C.
• James L Gonzales, PHD
• Donna Jean Gonzalez, PHARM D
• Laura Maria Gonzalez
• Miriam C Gonzalez
• Good Life Counseling and Consulting
• Good Shepherd Assisted Living

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.