Nichole Sabrina Palmeno-Gonzalez, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

319 N Day Ave
Rockford, IL 61101-5437

Phone

(779) 777-0746

NPI assigned

Sep 10, 2017

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

Other names 1

• Nichole Sabrina Gorman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831618990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N DAY AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611015437",
            "telephone_number": "779-777-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N DAY AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611015437",
            "telephone_number": "779-777-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMENO-GONZALEZ",
        "first_name": "NICHOLE",
        "middle_name": "SABRINA",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "GORMAN",
            "middle_name": "SABRINA",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pain Management Associates, LTD
• Pain-Free Living Services of Illinois, S.C.
• Daniel Clark Painter, M.D.
• John Anthony Pakiela, DO
• Andrew J Palazzolo, M.D.
• Anita Palmer-Hall, O.D.
• Cindi Anne Palmer
• Jodi L Palmer, SLP
• Michelle Palmer, M.S., CF-SLP
• Wendy Palmer, PHARMD

• Nurse's Aide in Rockford, IL
• Providers in Rockford, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.