Active NPI
Nina Carter Gonzales, DNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1891385183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2021000389
- Practice address
- 1000 Carondelet Dr
Kansas City, MO 64114-4673 - Phone
- (816) 943-5800
- Fax
- (816) 943-4849
- NPI assigned
- Jan 21, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021000389 | MO | Primary |
Addresses
Primary practice location
1000 Carondelet Dr
Kansas City, MO 64114-4673
Mailing address
17886 E 23Rd St S
Independence, MO 64057-1840
Phone (816) 254-3652
Other practice location 1
4001 S 700 E
Salt Lake City, UT 84107-2177
Phone (385) 428-4771
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1891385183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17886 E 23RD ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571840",
"telephone_number": "816-254-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144673",
"telephone_number": "816-943-5800",
"fax_number": "816-943-4849"
}
],
"practiceLocations": [
{
"address_1": "4001 S 700 E",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841072177",
"country_code": "US",
"telephone_number": "385-428-4771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "NINA",
"middle_name": "CARTER",
"name_prefix": "Dr.",
"credential": "DNP, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2023-04-21",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2021000389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.