Individual provider Active NPI

Alicia Gonzalez, FNP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1902614068
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
312051 Issued in AZ
Practice address
2060 W 24TH St
Yuma, AZ 85364-6123
Phone
(928) 819-8999
NPI assigned
Dec 20, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 312051 AZ Primary

Addresses

Primary practice location

2060 W 24TH St
Yuma, AZ 85364-6123

Mailing address

3054 W 17TH PL
Yuma, AZ 85364-5053
Phone (928) 919-4259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211001797 AZ Practitioner - Nurse Practitioner 1052841764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

815 E Juan Sanchez Blvd
San Luis, AZ 85349
Phone (928) 627-3822

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
312051AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Community Health Center Inc CurrentSince Feb 3, 2025 Accepting new patients
Sunset Community Health Center Inc CurrentSince Feb 3, 2025 Accepting new patients
Sunset Community Health Center Inc Current Accepting new patients
Sunset Community Health Center Inc PastSince Dec 7, 2025 Accepting new patients

Locations

2060 W 24th St
Yuma, AZ 85364
Phone (928) 344-4216

675 S Avenue B
Yuma, AZ 85364
Phone (928) 539-3140

675 S Avenue B
Bldg A
Yuma, AZ 85364
Phone (928) 539-3140

Interoperability endpoints

  • Direct secure messaging: alicia.gonzalez.p1@direct.sunset.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1902614068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 W 17TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645053",
            "telephone_number": "928-919-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALICIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "312051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.