Active NPI
Wascar Gonzalez, LPN
- Licensed Practical Nurse
- Hartford, CT
National Provider Identifier
1669029815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 028477
- Practice address
- 43 Woodland St
Hartford, CT 06105-2363 - Phone
- (860) 586-7192
- NPI assigned
- Aug 22, 2019
- Last updated
- Aug 22, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 028477 | CT | Primary |
Addresses
Primary practice location
43 Woodland St
Hartford, CT 06105-2363
Mailing address
19 Cottage St
Winsted, CT 06098-1211
Phone (860) 202-4122
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wgonzalez@wheelerclinic.org | Direct |
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 |
|---|---|---|---|
| 028477 | CT | MD | Licensed Practical Nurse |
Interoperability endpoints
- wascar.gonzalez.p1@direct.wheelerclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1669029815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 COTTAGE ST",
"city": "WINSTED",
"state": "CT",
"postal_code": "060981211",
"telephone_number": "860-202-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052363",
"telephone_number": "860-586-7192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "WASCAR",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CT",
"license": "028477",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wgonzalez@wheelerclinic.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "43 Woodland St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061052363",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.