Candida I Gonzalez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

023691 Issued in PR

Practice address

5200 Buny Trail
West Killeen Medical Home
Fort Hood, TX 36362-5333

Phone

(254) 553-8110

Fax

(254) 553-8111

NPI assigned

Nov 12, 2008

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1942454202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARL R. DARNALL ARMY MEDICAL CENTER",
            "address_2": "36065 SANTA FE AVE.",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445333",
            "telephone_number": "254-553-8110",
            "fax_number": "254-553-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BUNY TRAIL",
            "address_2": "WEST KILLEEN MEDICAL HOME",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "363625333",
            "telephone_number": "254-553-8110",
            "fax_number": "254-553-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CANDIDA",
        "middle_name": "I",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "023691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Mawuli Godo, M.D
• John M Golden, PH.D.
• Robert Walter Gombeski, PHD
• Francisca Gonzales, NP
• Amanda R Gonzalez, RN, BSN, MSN
• Damary Gonzalez, M. D.
• Deanna Maria Gonzalez, OTR
• Marcelina Castillo Gonzalez, LCSW
• Rafael Gonzalez, PA-C
• Scott David Goodroad, D.O.

• Licensed Practical Nurse in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.