Individual provider Active NPI

Brenda Gonzalez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sahuarita, AZ
National Provider Identifier
1720825565
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
315430 Issued in AZ
Practice address
14919 S Placita Tierra Montanosa
Sahuarita, AZ 85629-8986
Phone
(480) 266-1285
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WE0003X 95153418 CA
Emergency Registered Nurse 163WE0003X RN164530 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 315430 AZ Primary

Addresses

Primary practice location

14919 S Placita Tierra Montanosa
Sahuarita, AZ 85629-8986

Mailing address

1753 Benoit Ter
Davenport, FL 33837-3644
Phone (480) 266-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250128002688 AZ Practitioner - Nurse Practitioner 4183153703 Reassigns benefits to 2 organizations
I20260314000449 FL Practitioner - Nurse Practitioner 4183153703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pusch Ridge Behavioral Health LLCGroup PAC ID 7416310438, 9 clinicians

Practice addresses (Care Compare)

1055 N la Canada Dr
Suite 109
Green Valley, AZ 85614-3700
Phone (520) 526-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95153418CAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pusch Ridge Behavioral Health LLC Single Specialty CurrentSince Jan 11, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Mar 1, 2026 Accepting new patients
Casa de Los Ninos, Inc. PastSince Oct 10, 2021 Accepting new patients
Casa de Los Ninos PastSince Jan 17, 2021 Accepting new patients

Locations

1055 N La Canada Dr
Ste 109
Green Valley, AZ 85614
Phone (520) 399-2700

6700 N Oracle Rd
Ste 505
Tucson, AZ 85704
Phone (520) 330-2334

7384 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 441-9914

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1720825565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 BENOIT TER",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373644",
            "telephone_number": "480-266-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14919 S PLACITA TIERRA MONTANOSA",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298986",
            "telephone_number": "480-266-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BRENDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95153418",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN164530",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "315430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.