Active NPI
Carol E. Gonzalez, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP126329
- Practice address
- 13737 Noel Rd
Ste 1400
Dallas, TX 75240-1331 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Jul 21, 2014
- Last updated
- Jul 7, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9334598 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | AP126329 | TX | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN2260210 | MA |
Addresses
Primary practice location
13737 Noel Rd
Ste 1400
Dallas, TX 75240-1331
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 282-0833
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9334598 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilton Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Consultants of Dallas LLP | Past | Accepting new patients | |
| Dallas Anesthesia & Pain Medicine Specialists LLP | Past | Accepting new patients |
Locations
4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
178 Hartford Rd
Manchester, CT 06040
Phone (860) 649-9973
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- carol.gonzalez@xdr.hhchealthdirect.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bloomfield, CT
- NPI 1588696173
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Putnam, CT
- NPI 1316994775
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1225298516
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1346400645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1891102026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-715-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CAROL",
"middle_name": "E.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9334598",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP126329",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2260210",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.