Active NPI
Luz E. Gonzalez, M.D.
- Family Medicine Physician
- Ft. Campbell, KY
National Provider Identifier
1982617171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15863
- Practice address
- Blanchfield Army Community Hospital
650 Joel Drive
Ft. Campbell, KY 42223-5349 - Phone
- (270) 798-8372
- Fax
- (270) 956-0180
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15863 | PR | Primary |
Addresses
Primary practice location
Blanchfield Army Community Hospital
650 Joel Drive
Ft. Campbell, KY 42223-5349
Mailing address
Blanchfield Army Community Hospital
650 Joel Drive
Ft. Campbell, KY 42223-5349
Phone (270) 798-8372
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15863 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982617171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
"address_2": "650 JOEL DRIVE",
"city": "FT. CAMPBELL",
"state": "KY",
"postal_code": "422235349",
"telephone_number": "270-798-8372",
"fax_number": "270-956-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
"address_2": "650 JOEL DRIVE",
"city": "FT. CAMPBELL",
"state": "KY",
"postal_code": "422235349",
"telephone_number": "270-798-8372",
"fax_number": "270-956-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LUZ",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "15863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.