Active NPI
Jennifer Elizabeth Gonzalez, D.C.
- Chiropractor
- Mansfield, PA
National Provider Identifier
1790962090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009907
- Practice address
- 40 W Wellsboro St
Mansfield, PA 16933-1411 - Phone
- (570) 662-1974
- NPI assigned
- Jan 29, 2008
- Last updated
- Nov 19, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009907 | PA | Primary |
Addresses
Primary practice location
40 W Wellsboro St
Mansfield, PA 16933-1411
Mailing address
40 W Wellsboro St
Mansfield, PA 16933-1411
Phone (570) 662-1974
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Gonzalezje@upmc.edu | Direct |
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 |
|---|---|---|---|
| DC009907 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhine Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Rhine Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- gonzalezje@upmc.edu
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1790962090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W WELLSBORO ST",
"city": "MANSFIELD",
"state": "PA",
"postal_code": "169331411",
"telephone_number": "570-662-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 W WELLSBORO ST",
"city": "MANSFIELD",
"state": "PA",
"postal_code": "169331411",
"telephone_number": "570-662-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009907",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Gonzalezje@upmc.edu",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "40 W Wellsboro St",
"city": "Mansfield",
"state": "PA",
"country_code": "US",
"postal_code": "169331411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mansfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.