Keyona Chanell Gonzalez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

5296 Issued in ND

Practice address

210 2ND Ave NW
Mandan, ND 58554-3124

Phone

(701) 667-3383

Fax

(701) 667-3203

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1689295941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NEW JERSEY ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046741",
            "telephone_number": "701-667-3378",
            "fax_number": "701-667-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 2ND AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543124",
            "telephone_number": "701-667-3383",
            "fax_number": "701-667-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "KEYONA",
        "middle_name": "CHANELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "5296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris A Gietzen, PT
• Vincent Gillette
• Monique Gladue
• Jodi Lynn Glasser, OTRL
• Kelly Faye Glasser
• Elizabeth Goodhart
• Nicole Goossen, CF-SLP
• Gracious Soul Home Care LLC
• Jamison William Gray, DC
• Trystan Gregory, SLP

• Case Manager/Care Coordinator in Mandan, ND
• Providers in Mandan, ND by specialty
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.