Individual provider Active NPI

Pati Michele Whelan-Gonzales, RN,MS,WHCNP-BC

  • Women's Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1902139090
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
123 Issued in AZ
Practice address
504 W University Dr
Mesa, AZ 85201-5627
Phone
(480) 238-6109
Fax
(480) 491-4846
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN038811 AZ
Women's Health Nurse Practitioner 363LW0102X 123 AZ Primary

Addresses

Primary practice location

504 W University Dr
Mesa, AZ 85201-5627

Mailing address

504 W University Dr
Mesa, AZ 85201-5627
Phone (480) 238-6109

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)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN038811AZMDAmbulatory Women's Health Care Registered Nurse
123AZMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1902139090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015627",
            "telephone_number": "480-238-6109",
            "fax_number": "480-491-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015627",
            "telephone_number": "480-238-6109",
            "fax_number": "480-491-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN-GONZALES",
        "first_name": "PATI",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "RN,MS,WHCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "AZ",
            "license": "RN038811",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.