MICHELLE GONZALES (NPI# 1295710929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295710929 |
| Entity Type | Individual |
| Full Name | MICHELLE GONZALES |
| Credential | PHD, WHNP-BC |
| Practice Address |
221 3rd St W Bldg 1040 Jbsa Randolph TX 78150-4800 |
| Practice Telephone | 2106521836 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
614476 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 3rd St W Bldg 1040, Jbsa Randolph, TX 781504800 | 2106521836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971473 | Michelle Gonzales | Dentist | 17747 Foxglove Ln, Boca Raton, FL 33487-2163 | 2020-08-05 |
| 1871098723 | Michelle Gonzales | Counselor | 5667 Shady Pine St N, Jacksonville, FL 32244-7829 | 2018-03-23 |
| 1306239520 | Michelle Gonzales | Counselor | 579 N 1st Bank Dr Ste 150, Palatine, IL 60067-8102 | 2015-03-12 |
| 1902098726 | Michelle Anne Gonzales | Counselor | 910 E Ohio Ave Ste 104, Escondido, CA 92025 | 2007-08-15 |
| 1154458990 | Michelle Gonzales | Physical Therapist | 1317 St Claire Blvd Ste A2, Mission, TX 78572-6636 | 2007-02-28 |
| 1013495662 | Michelle E Gonzales | Registered Nurse | 613 W Sesame Dr, Harlingen, TX 78550-7930 | 2018-08-04 |
| 1306384623 | Michelle Gonzales | Counselor | 200 N 8th Ave E, Newton, IA 50208-2120 | 2017-02-07 |
| 1659720639 | Michelle Lee Gonzales | Licensed Practical Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2016-06-09 |
| 1124483375 | Michelle Gonzales | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705-0946 | 2015-12-15 |
| 1609263201 | Michelle Gonzales | Registered Nurse | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2015-04-21 |
| Street Address |
221 3RD ST W BLDG 1040 |
| City | JBSA RANDOLPH |
| State | TX |
| Zip Code | 78150-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427042183 | Karen Ann Ryan-philpott | Pediatrics | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2005-09-08 |
| 1235695412 | Alexandra Schulte | General Practice | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2019-02-13 |
| 1225525926 | Kristyn Brooke Loggins | Pharmacist | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2018-04-18 |
| 1053831149 | Angelique Stacey Ann Forrester | Family Medicine | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2017-06-21 |
| 1770014383 | Daniel Stephen Catts | Pediatrics | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2017-03-24 |
| 1386191252 | Kelly Cooper | Dentist | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2016-09-07 |
| 1972974061 | Jeffery Rueben | Physician Assistant | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-10-14 |
| 1053787259 | Leanne Putnam | Nurse Practitioner | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-08-11 |
| 1780066035 | Karla Renise Ivy | Family Medicine | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-06-23 |
| 1427437151 | Jacqueline Gutierrez | Student in an Organized Health Care Education/Training Program | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2015-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045833 | Erica Renae Guevara | Physician Assistant | 559 Medial Sq, 221 Third Street West Bldg. 1040, Jbsa-randolph Afb, TX 78150 | 2019-04-05 |
| 1457803868 | Emily Newman | Dietitian, Registered | 221 Third Street West, Bldg. 999 Ste 2, Joint Base San Antonio -randolph, TX 78150 | 2016-11-02 |
| 1922411677 | Amber Drewer | Military Health Care Provider | 3rd Street West Building 1040, Randolph Afb, TX 78150 | 2014-06-10 |
| 1144652975 | Josephine Kimberly Olsen | Family Medicine | 359 Mdos/mdg, Randolph Afb, TX 78150 | 2013-08-02 |
| 1609149681 | Lucky Lusterio | Preventive Medicine | 221 3rd St. W, Randolph Afb, TX 78150 | 2012-02-21 |
| 1417120569 | Joni Hodgson | General Practice | 221 3rd Street West, Jbsa Randolph, TX 78150 | 2008-04-09 |
| 1710095724 | Katherine Justen Adamson | Physician Assistant | 12th Medical Group, 221 3rd Street West, Randolph Air Force Base, TX 78150 | 2006-08-29 |
| 1811950090 | Lidia Stana Ilcus | Internal Medicine | 359 Mdg, 221 Third Street West, Randolph Afb, TX 78150 | 2006-04-10 |
| 1013970672 | David Hamilton | Social Worker | 12mdos/sgohf, Randolph Afb, TX 78150 | 2006-04-06 |
| 1962465526 | Robert Allan Briggs | Physical Therapist | Randolph Afb Clinic, 221 3rd St W, Randolph Afb, TX 78150 | 2006-04-06 |
| Find all providers in zip 78150 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809074 | Christine Depardo | Nurse Practitioner | 6161 State Hwy 161 Fl 3, Irving, TX 75038-2220 | 2020-10-20 |
| 1457968232 | Brenda Lynn Franke | Nurse Practitioner | 1501 Creekside Dr, Richardson, TX 75081-2913 | 2020-09-25 |
| 1073127031 | Jennifer Barbosa | Nurse Practitioner | 6065 Sports Village Rd Ste 600, Frisco, TX 75033-3591 | 2020-09-06 |
| 1619594744 | Elm Midwifery and Womens Health LLC | Nurse Practitioner | 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 | 2020-07-06 |
| 1417571969 | Viviana S Navar | Nurse Practitioner | 1440 George Dieter Dr # A, El Paso, TX 79936-7601 | 2020-06-01 |
| 1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
| 1235779760 | Tracy Woods | Nurse Practitioner | 5846 Piedmont Gln, San Antonio, TX 78249-4876 | 2020-01-13 |
| 1801436340 | Sarah Olivia Menotti | Nurse Practitioner | 3828 Hughes Ct Ste 104, Dickinson, TX 77539-6235 | 2020-01-13 |
| 1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
| 1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | JBSA RANDOLPH |
| Zip Code | 78150 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.