Active NPI
Ana Lucia Gonzalez Herrera
- Student in an Organized Health Care Education/Training Program
- Phoenix, AZ
National Provider Identifier
1710557046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 57.251187
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-1000
- NPI assigned
- Jun 29, 2021
- Last updated
- Apr 1, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 57.251187 | OH | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
11905 Mayfield Rd Unit 505
Cleveland, OH 44106-2986
Phone (520) 637-0971
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Allscripts | ||
| CONNECT URL | Epic |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1710557046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11905 MAYFIELD RD UNIT 505",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441062986",
"telephone_number": "520-637-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ HERRERA",
"first_name": "ANA",
"middle_name": "LUCIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "57.251187",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Allscripts",
"affiliation": "N",
"address_1": "11100 Euclid Ave",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441061716",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Epic",
"affiliation": "N",
"address_1": "1919 E Thomas Rd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850167710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
- Victoria Gonzales
- Leonardo Gonzalez Antunez
- Janoi Gonzalez Camejo, RN, NSN, NP-C
- Marilyn Gonzalez Esparza, MA, BCBA
- Francisco Miguel Gonzalez Hernandez, NP
- Indra Gonzalez Juarez, PSYD
- Angel Gonzalez Navarro, SLPA
- Michelle Gonzalez Salgado, M.D.
- Jesus Alberto Gonzalez Solorzano, PHARMD
- Gabriel Isaiah Gonzalez Sosa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.