Abigail Gonzalez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP61352086 Issued in WA

Practice address

4411 Browns Point Blvd
Tacoma, WA 98422-2041

Phone

(253) 925-9220

NPI assigned

Aug 29, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ashley House

  • Pediatric Skilled Nursing Facility
  • Tacoma, WA
  • NPI 1316160955
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1902681737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 S 12TH ST APT 1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 BROWNS POINT BLVD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222041",
            "telephone_number": "253-925-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61352086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kosal Eugene Gonzales
• Kristina Rae Cruz Gonzales, PT, DPT, CLT
• Michelle Gonzales, L.M.P.
• Eileen C Gonzalez Legg, LCSW
• Cynthia Gonzalez Ortiz, RN
• Alonzo Santana Gonzalez
• Benita Gonzalez
• David A Gonzalez, PMHNP-BC
• Donzaleigh Joyce Gonzalez
• Elisabeth Gonzalez, BDC, BD

• Licensed Practical Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.