Jessica Helena Gonzales, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60505216 Issued in WA

Practice address

16771 NE 80TH St Ste 104
Redmond, WA 98052-3959

Phone

(425) 651-6890

Fax

(866) 771-2215

NPI assigned

Sep 30, 2014

Last updated

Aug 13, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1750784112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE # I1451301",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527846",
            "telephone_number": "425-651-6890",
            "fax_number": "866-771-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16771 NE 80TH ST STE 104",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523959",
            "telephone_number": "425-651-6890",
            "fax_number": "866-771-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JESSICA",
        "middle_name": "HELENA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60505216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon-Erik Golob, MS, OTR/L
• Faith Maryanne Golomb
• Kimberly Kay Gomersall, M.S., CCC-SLP
• Jessica Gomes
• Armando Gomez
• Tina Christine Gonzales, MA, LMHCA
• Jocelyn D Gonzalez Aguilar
• Melissa Claire Gonzalez, PT, DPT, MS
• Cynthia Good, MS, LMHCA, IBCLC
• James Darwin Goodloe Jr.

• Psychiatric/Mental Health Nurse Practitioner in Redmond, WA
• Providers in Redmond, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.