Vanessa Gonzalez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5849552-4405 Issued in UT

Practice address

1639 E Saint James PL
Salt Lake City, UT 84121-1246

Phone

(801) 928-3618

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in UT

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

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vanessa.gonzalez.1@28492.direct.athenahealth.com

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.

• Brian J Williams MD PC

  • Dermatology Physician
  • Midvale, UT
  • NPI 1255502050
  Medicare reassignment NPD
• M R Hinckley MD PLLC

  • MOHS-Micrographic Surgery Physician
  • Midvale, UT
  • NPI 1902171895
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1710394291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 E SAINT JAMES PL",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E SAINT JAMES PL",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211246",
            "telephone_number": "801-928-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5849552-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Marlin Gonzalez
• Ivy Gonzalez
• Jose Gonzalez
• Kimberly Gonzalez
• Steviee Shana Gonzalez
• Kristen Elena Gooch, NP-C
• Good Shepherd Home Care and Hospice, Inc.
• Good Therapy Place
• Good Vibez Wellness Center LLC (Big Feelings Psychiatry)
• Delaney Christine Good

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.