Nicolle L Gonzales, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

625 Issued in NM

Practice address

4133 Montgomery Blvd NE
Albuquerque, NM 87109-6741

Phone

(505) 660-6372

Fax

(505) 393-5165

NPI assigned

Aug 5, 2011

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)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

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.

• Changing Woman Initiative

  • Advanced Practice Midwife
  • Albuquerque, NM
  • NPI 1972087054
  NPD Authorized official

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1992084164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096741",
            "telephone_number": "505-660-6372",
            "fax_number": "505-393-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096741",
            "telephone_number": "505-660-6372",
            "fax_number": "505-393-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "NICOLLE",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gonzales
• Nicole C Gonzales, RDH
• Nicole E Gonzales, CNP
• Nicole M Gonzales, PHARMD
• Nicolette Gabriella Gonzales, MPH
• Odessa Ray Gonzales, BA
• Omri Gonzales
• Oona Gonzales, DOM
• Patricia Gonzales
• Patricia E Gonzales, SW

• Advanced Practice Midwife in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Advanced Practice Midwife in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.