Stephanie Gonzalez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

284180 Issued in NC

Practice address

3541 Randolph Rd Ste 303
Charlotte, NC 28211-5122

Phone

(704) 333-0465

NPI assigned

Oct 17, 2021

Sex

Female

Sole proprietor

No

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 NC

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Centro Medico Latino, PC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1164884821
  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Juneau, AK
  • NPI 1851486153
  NPD (past)

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1710640735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 RANDOLPH RD STE 303",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 RANDOLPH RD STE 303",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115122",
            "telephone_number": "704-333-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "284180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Gonzalez
• Nicholas Gonzalez
• Nicole Krystal Gonzalez, FNP-C
• Oiralis Gonzalez, BCBA
• Sandra Starnes Gonzalez, MSW, LCSW
• Stephanie D Gonzalez, LCSWA
• Yocelin Gonzalez
• Robert Andrew Gooch, PHARMD
• Good Angel Home Health
• Good Currency Inc

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.