Milissa Anne Gonzales, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

219724 Issued in NY

Practice address

11 Garibaldi Ave
Oakfield, NY 14125-1208

Phone

(585) 409-9485

NPI assigned

Oct 19, 2007

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Milissa Anne Gonzales Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1831388495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GARIBALDI AVE",
            "city": "OAKFIELD",
            "state": "NY",
            "postal_code": "141251208",
            "telephone_number": "585-409-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GARIBALDI AVE",
            "city": "OAKFIELD",
            "state": "NY",
            "postal_code": "141251208",
            "telephone_number": "585-409-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MILISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "219724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01895165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILISSA",
            "last_name": "GONZALES",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Allison Bethany Dentinger, MT-BC
• Charlotte D Dixson, MSED
• Amanda Louise Draper, RN
• Barbara Jean Falker-Johnson, LMSW
• Jennifer Marie Glor, MT-BC, LCAT
• Audrey Ann Gunther, NP
• Lauren Hamm, MT-BC
• Michaela Hochmuth, CCC-SLP
• Michele Balaz Horton, LPN
• Valerie Jean Houseknecht, LPN

• Licensed Practical Nurse in Oakfield, NY
• Providers in Oakfield, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.