Individual provider Active NPI

Joyce Garcia-Gonzalez, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1710328810
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP7645 Issued in AZ
Practice address
2920 N 4TH St
Flagstaff, AZ 86004-1816
Phone
(928) 522-9400
NPI assigned
Jul 17, 2013
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 041308362 IL
Gynecology Physician 207VG0400X 041308362 IL
Maternal & Fetal Medicine Physician 207VM0101X 041308362 IL
Obstetrics Physician 207VX0000X 041308362 IL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP7645 AZ Primary

Addresses

Primary practice location

2920 N 4TH St
Flagstaff, AZ 86004-1816

Mailing address

PO Box 3630
Flagstaff, AZ 86003-3630

Other identifiers 1

IdentifierTypeStateIssuer
041308362MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508000107 AZ Practitioner - Certified Nurse Midwife (CNM) 0345474086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

9305 W Thomas Rd
Suite 155
Phoenix, AZ 85037-3360
Phone (623) 936-1780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP7645AZMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Mar 1, 2015 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
Arizona OB GYN Affiliates PC CurrentSince Mar 1, 2025 Accepting new patients
North Country Healthcare, Inc. CurrentSince Mar 1, 2015 Accepting new patients
North Country Healthcare Inc Past Accepting new patients
Banner Estrella Medical Center Past Accepting new patients
Flagstaff Medical Center Past Accepting new patients

Locations

2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 219-3300

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1120 W University Ave
Flagstaff, AZ 86001
Phone (928) 212-5761

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899

2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954

9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 936-1780

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Interoperability endpoints

  • Direct secure messaging: joyce.garcia.gonzalez.1@14294.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1710328810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3630",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041816",
            "telephone_number": "928-522-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-GONZALEZ",
        "first_name": "JOYCE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "041308362",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "041308362",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "041308362",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "041308362",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP7645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041308362",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.