JENNIFER REBECCA GONZALES (NPI# 1316486509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316486509 |
| Entity Type | Individual |
| Full Name | JENNIFER REBECCA GONZALES |
| Credential | APRN, CNP |
| Practice Address |
12455 E 100th St N Ste 300 Owasso OK 74055-4678 |
| Practice Telephone | 9182749700 |
| Practice Fax Number | 9182741395 |
| Mailing Telephone | 9182749700 |
| Mailing Fax Number | 9182741395 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71867 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889098 | Jennifer Vega Gonzales | Nurse Practitioner | 8901 Emmett F Lowry Expy Ste B, Texas City, TX 77591-2279 | 2020-07-30 |
| 1457810988 | Jennifer Gonzales | Behavior Technician | 1320 E Shaw Ave Ste 100, Fresno, CA 93710-7905 | 2019-03-14 |
| 1083983068 | Jennifer Lazaro Gonzales | Physical Therapist | 701 E Naylor Mill Rd Unit F, Salisbury, MD 21804-2308 | 2011-12-21 |
| 1972816122 | Jennifer Gonzales | Pharmacy Technician | 13222 Faraday Dr, Dr, Houston, TX 77047-3229 | 2010-07-16 |
| 1760620942 | Jennifer Ann Gonzales | Speech-Language Pathologist | 4866 Taylor Dr, Beeville, TX 78102-8467 | 2009-01-27 |
| 1891328175 | Jennifer Lee Gonzales | Nurse Practitioner | 2101 Pease St, Harlingen, TX 78550-8307 | 2020-02-14 |
| 1033779905 | Jennifer Marie Gonzales | Pharmacist | 3420 N Scottsdale Rd, Scottsdale, AZ 85251-5624 | 2019-06-13 |
| 1336624915 | Jennifer Patricia Gonzales | Specialist | 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 | 2018-09-28 |
| 1336625888 | Jennifer Gonzales | Licensed Vocational Nurse | 2102 W Teege Ave, Harlingen, TX 78550-4667 | 2018-07-18 |
| 1811496789 | Jennifer Lauren Gonzales | Nurse Practitioner | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2018-02-06 |
| Street Address |
12455 E 100TH ST N STE 300 |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-4678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225062516 | Christopher Fife Hebertson | Pediatrics | 12455 E 100th St N Ste 300, Owasso, OK 74055-4674 | 2006-07-10 |
| 1902446917 | Chelsea Ryan Walker | Pediatrics | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2020-01-08 |
| 1912414830 | Amy Nicole Sommer | Nurse Practitioner | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2017-12-30 |
| 1871009019 | Kelsey Marie Lillard | Nurse Practitioner | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2017-12-26 |
| 1730607466 | Shannon White | Nurse Practitioner | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2017-09-01 |
| 1225434756 | Phyllis A. Peace | Nurse Practitioner | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2014-11-11 |
| 1033460449 | Sara Ann Buntin | Registered Nurse | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2012-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811100621 | Erin Teresa Fleming | Nurse Practitioner | 12455 E 100th St N Ste 280, Owasso, OK 74055-4675 | 2007-05-08 |
| 1912414830 | Amy Nicole Sommer | Nurse Practitioner | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2017-12-30 |
| 1871009019 | Kelsey Marie Lillard | Nurse Practitioner | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2017-12-26 |
| 1730607466 | Shannon White | Nurse Practitioner | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2017-09-01 |
| 1295074359 | Tracey Lynn Fields | Nurse Practitioner | 8439 N 117th East Ave, Owasso, OK 74055-2142 | 2013-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383378 | Lindsey Lauren Givens | Nurse Practitioner | 17513 Aragon Ln, Oklahoma City, OK 73170-9209 | 2019-12-20 |
| 1801453493 | Anna Pauline Reed | Nurse Practitioner | 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 | 2019-05-20 |
| 1639631781 | April Keith | Nurse Practitioner | 11204 Katie Beth Cir, Oklahoma City, OK 73170-8403 | 2019-04-05 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1740756840 | Darshi Wickrama Edirisooriya | Nurse Practitioner | 1001 N Florence Ave, Claremore, OK 74017-6207 | 2018-10-17 |
| 1922518232 | Bryan Marshall Tison | Nurse Practitioner | 2000 E 15th St Ste 400a, Edmond, OK 73013-6673 | 2017-10-02 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| 1235667833 | Bobbie Renee Stamps | Nurse Practitioner | 18216 S 410 Rd, Hulbert, OK 74441-1832 | 2017-05-25 |
| 1467984781 | Lauryn Kathleen Trepp | Nurse Practitioner | 2800 W 91st St, Tulsa, OK 74132-3510 | 2017-03-28 |
| 1760922678 | Carissa Declerck | Nurse Practitioner | 1200 Childrens Ave Ste 2f, Oklahoma City, OK 73104-4637 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
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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.