Active NPI
Cathy J Gonzales, FNP
- Nurse Practitioner
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2830934405
- Practice address
- 3181 W 9000 S
West Jordan, UT 84088-5610 - Phone
- (801) 965-3600
- NPI assigned
- Aug 8, 2006
- Last updated
- Dec 16, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2830934405 | UT | Primary |
Addresses
Primary practice location
3181 W 9000 S
West Jordan, UT 84088-5610
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600
Other practice location 1
5848 S Fashion Blvd
Murray, UT 84107-6121
Phone (801) 314-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600
348 E 4500
Suite 220
Murray, UT 84107-8524
Phone (801) 577-7055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2830934405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Option Care Infusion Suites, LLC | Nurse Practitioner | Current | Accepting new patients |
| Granger Medical Clinic PC | Family Medicine | Current | Accepting new patients |
| Granger Medical Specialists LLC | Current | Accepting new patients | |
| Granger Medical Specialists, LLC | Current | Accepting new patients | |
| Option Care Infusion Suites, LLC | Current | Accepting new patients | |
| Granger Medical Clinic Inc | Family Medicine | Current | Accepting new patients |
Locations
2132 N Robins Dr
Ste 210
Layton, UT 84041
12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700
348 E 4500 S
Ste 220
Salt Lake Cty, UT 84107
Phone (801) 557-7055
995 W Levoy Dr
Taylorsville, UT 84123
7181 S Campus View Dr
West Jordan, UT 84084
Phone (801) 965-3505
7181 S Campus View Dr
Ste 200
West Jordan, UT 84084
Phone (801) 965-3505
2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505
3725 W 4100 S
West Valley City, UT 84120
Phone (801) 965-3545
Interoperability endpoints
- cathy.gonzales@gmcwv.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- West Valley City, UT
- NPI 1184657041
Family Medicine
-
- Nurse Practitioner
- Murray, UT
- NPI 1164194601
-
- Clinic/Center
- West Valley City, UT
- NPI 1376159368
-
dba Granger Medical Riverton
- Multi-Specialty Clinic/Center
- Riverton, UT
- NPI 1881797876
Family Medicine
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1497441539
-
- Infusion Therapy Clinic/Center
- Memphis, TN
- NPI 1497584445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1861402331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 W 3500 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193602",
"telephone_number": "801-965-3600",
"fax_number": "801-442-0643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885610",
"telephone_number": "801-965-3600"
}
],
"practiceLocations": [
{
"address_1": "5848 S Fashion Blvd",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841076121",
"country_code": "US",
"telephone_number": "801-314-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "CATHY",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "2830934405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.