Active NPI
Michelle Gonzalez, LPN
- Home Health Registered Nurse
- Augusta, MI
National Provider Identifier
1730709866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 4704228622
- Practice address
- 7906 N 39TH St
Augusta, MI 49012-9714 - Phone
- (734) 812-6973
- NPI assigned
- Apr 18, 2020
- Last updated
- May 12, 2023
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704228622 | MI | Primary |
Addresses
Primary practice location
7906 N 39TH St
Augusta, MI 49012-9714
Mailing address
7906 N 39TH St
Augusta, MI 49012-9714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952924193 | Other | MI | NPI |
Other names 1
- Michelle Gonzalez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 7906 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704228622 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universaln | Home Health | Current | Accepting new patients |
| Universaln | Home Health | Current | Accepting new patients |
Organizations & group practices 2
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": "1587168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1730709866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7906 N 39TH ST",
"city": "AUGUSTA",
"state": "MI",
"postal_code": "490129714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7906 N 39TH ST",
"city": "AUGUSTA",
"state": "MI",
"postal_code": "490129714",
"telephone_number": "734-812-6973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MICHELLE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-18",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "4704228622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1952924193",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "7906",
"affiliation": "N",
"address_1": "7906 N 39th St",
"city": "Augusta",
"state": "MI",
"country_code": "US",
"postal_code": "490129714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "GONZALEZ",
"credential": "LPN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Augusta, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.