Lidia Gonzalez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

0007023 Issued in CO

Practice address

30999 County Road 15
Las Animas, CO 81054-9499

Phone

(719) 662-1127

NPI assigned

Jun 12, 2014

Last updated

Jun 12, 2014By the provider in NPPES

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

Practice roles

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.

• Colorado Coalition for the Homeless

  dba Ft. Lyon

  • Federally Qualified Health Center (FQHC)
  • Las Animas, CO
  • NPI 1336563014
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1982018479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30999 COUNTY ROAD 15",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810549499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30999 COUNTY ROAD 15",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810549499",
            "telephone_number": "719-662-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LIDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CO",
            "license": "0007023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rae Didomenico, D.D.S.
• Karen L Donkle, NP
• Cassie Lane Elder, RN
• Family Medical Services
• Steven Gallegos, ACNP/FNP-BC
• Riley Ortis Holmes, PHARMD
• Jason Keith Holt
• Inspiration Field
• Inspiration Field
• Inspiration Field

• Case Manager/Care Coordinator in Las Animas, CO
• Providers in Las Animas, CO by specialty
• Case Manager/Care Coordinator in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.