JENNIFER ALEXIS GONZALES (NPI# 1366404030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366404030 |
| Entity Type | Individual |
| Full Name | JENNIFER ALEXIS GONZALES |
| Credential | PA |
| Practice Address |
6802 S Olympia Ave Ste300 Tulsa OK 74132-1823 |
| Practice Telephone | 9187490762 |
| Practice Fax Number | 9187444246 |
| Mailing Telephone | 9187490762 |
| Mailing Fax Number | 9187444246 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1152 | 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 |
6802 S OLYMPIA AVE STE300 |
| City | TULSA |
| State | OK |
| Zip Code | 74132-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061603 | Clinton Scott Anthony | Anesthesiology | 6802 S Olympia Ave, Suite 100, Tulsa, OK 74132-1823 | 2005-05-23 |
| 1790199560 | Jaye Bea Downs | Otolaryngology | 6802 S Olympia Ave, Tulsa, OK 74132-1823 | 2014-06-19 |
| 1881024727 | Tulsa Hills Pharmacy LLC | Pharmacy | 6802 S Olympia Ave, Ste 125, Tulsa, OK 74132-1823 | 2013-11-13 |
| 1700135407 | John Rogers Dds PC | Dentist | 6802 S Olympia Ave, Suite 275, Tulsa, OK 74132-1823 | 2012-09-10 |
| 1275807562 | Warren Steven Silberman | Preventive Medicine | 6802 S Olympia Ave, Suite 300, Tulsa, OK 74132-1823 | 2012-03-04 |
| 1275827768 | Janet Carol Tipton | Speech-Language Pathologist | 6802 S Olympia Ave, Ste 275, Tulsa, OK 74132-1823 | 2011-06-02 |
| 1225333867 | Edb Nursing,plc | Home Health | 6802 S Olympia Ave, 300, Tulsa, OK 74132-1823 | 2011-01-12 |
| 1780903633 | Stephanie Marie Hewett | Audiologist | 6802 S Olympia Ave, Ste 275, Tulsa, OK 74132-1823 | 2010-05-18 |
| 1679890701 | Daniel Martin Harwell | Neurological Surgery | 6802 S Olympia Ave, Suite #300, Tulsa, OK 74132-1826 | 2010-04-29 |
| 1710217732 | Nicole Diane Streich | Speech-Language Pathologist | 6802 S Olympia Ave, Ste. 275, Tulsa, OK 74132-1823 | 2010-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412992 | Dental Depot Southern Hills 71st & Jackson | Clinic/Center | 710 W. 74th Street, Tulsa, OK 74132 | 2019-05-10 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1801153754 | Jeffrey B Hill | Family Medicine | 7858 South Olympia Avenue West, Tulsa, OK 74132 | 2012-04-17 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1356331052 | Trisza L Ray | Family Medicine | 7858 South Olympia Avenue, Tulsa, OK 74132 | 2005-10-24 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1306843248 | Paul Pisarik | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132 | 2005-07-07 |
| 1235752361 | William Richey | Pharmacist | 6901 S Olympia Ave, Tulsa, OK 74132 | 2020-05-23 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| Find all providers in zip 74132 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025094 | Shawna Rose Liszewski | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-04-03 |
| 1265920565 | Elite Surgical Assisting, LLC | Physician Assistant | 2924 S 98th East Ave, Tulsa, OK 74129-4407 | 2018-04-23 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1265797781 | Rebecca Lynn Painter | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2012-07-10 |
| 1003417411 | Erin Haley Sims | Physician Assistant | 6465 S Yale Ave Ste 101, Tulsa, OK 74136-7803 | 2020-11-03 |
| 1134779341 | Jarret Dwight Keller | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-09-19 |
| 1891253431 | Amy Nichole Ingham | Physician Assistant | 6161 S Yale Ave, Tulsa, OK 74136-1992 | 2019-03-02 |
| 1568984425 | Paramount Surgical Assisting | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2017-07-12 |
| 1003352543 | Anne Claire Edmonds | Physician Assistant | 6565 S Yale Ave Ste 1200, Tulsa, OK 74136-8313 | 2017-01-09 |
| 1477971315 | The Orthopaedic Center | Physician Assistant | 8803 S 101st East Ave, Suite 100, Tulsa, OK 74133-5726 | 2014-03-28 |
| Find all providers in TULSA | ||||
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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.