Active NPI
Paulene Anne Gonzales
- Nurse Massage Therapist (NMT)
- Norfolk, VA
National Provider Identifier
1790611093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- 0001316034
- Practice address
- 601 Childrens LN
Norfolk, VA 23507-1971 - Phone
- (757) 668-7000
- NPI assigned
- Jun 23, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Massage Therapist (NMT) | 163WM1400X | 0001316034 | VA | Primary |
Addresses
Primary practice location
601 Childrens LN
Norfolk, VA 23507-1971
Mailing address
601 Childrens LN
Norfolk, VA 23507-1971
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1790611093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CHILDRENS LN",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CHILDRENS LN",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071971",
"telephone_number": "757-668-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "PAULENE ANNE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-06-23",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "VA",
"license": "0001316034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.