MISS JESSICA GONZALEZ (NPI# 1619367141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619367141 |
| Entity Type | Individual |
| Full Name | MISS JESSICA GONZALEZ |
| Credential | PA-C |
| Practice Address |
40 Cross St Norwalk CT 06851-4647 |
| Mailing Address |
41 Maple Ave Shelton CT 06484-2129 |
| Practice Telephone | 6464962716 |
| Mailing Telephone | 6464962716 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3294 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 841 Tysens Ln, Staten Island, NY 103065661 | 6464962716 | |
| 34 Maple St, Norwalk, CT 068503815 | 2038522000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194625 | Jessica Gonzalez | Behavior Technician | 7971 Sw 152nd Ave Apt 2, Miami, FL 33193-3222 | 2020-04-30 |
| 1629699046 | Jessica Ann Gonzalez | Licensed Vocational Nurse | 6102 Quiet Night Ln, Converse, TX 78109-3786 | 2020-04-27 |
| 1427619063 | Jessica M Gonzalez | Physical Therapist | 151 N Michigan Ave Ste C47, Chicago, IL 60601-7974 | 2019-06-25 |
| 1194200196 | Jessica S Gonzalez | Psychologist | 3501 Solera St, Edinburg, TX 78541-6099 | 2018-09-26 |
| 1518446608 | Jessica Gonzalez | Occupational Therapy Assistant | 5346 East Highway 83 Unit 2 Building A, Rio Grande City, TX 78582-7858 | 2018-08-09 |
| 1689160756 | Jessica Gonzalez | Nurse Practitioner | 435 Saint Michaels Dr Ste 101, Santa Fe, NM 87505-7672 | 2018-07-02 |
| 1497257208 | Jessica Gonzalez | Social Worker | 68 Annuciation Road, Roxbury, MA 02120-1808 | 2018-03-07 |
| 1679081913 | Jessica Yesenia Gonzalez | Registered Nurse | 9455 Clariremont Mesa Blvd, San Diego, CA 92123 | 2018-01-22 |
| 1578088175 | Jessica Gonzalez | Behavior Technician | 5024 Sw 145th Ave, Miami, FL 33175-5010 | 2017-08-04 |
| 1316467764 | Jessica Gonzalez | Behavioral Analyst | 160 Hubbard Way Ste E, Reno, NV 89502-3780 | 2017-06-26 |
| Street Address |
40 CROSS ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095613 | Jaclyn Conelius | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2005-07-07 |
| 1285174847 | Gianna Rafetto | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2017-03-02 |
| 1124470299 | Melissa Kate Fraher | Registered Nurse | 40 Cross St, Suite 300b, Norwalk, CT 06851-4647 | 2016-07-12 |
| 1942617980 | Kathleen Smith | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2014-07-22 |
| 1578981858 | Sean Butler | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2014-04-02 |
| 1902240849 | Aniqa Anwar | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2013-04-22 |
| 1194073049 | Christine K. Shanahan | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2012-08-27 |
| 1871841726 | Erin Denise Martin | Nurse Practitioner | 40 Cross St, Suite 300, Norwalk, CT 06851-4647 | 2012-08-27 |
| 1366726432 | Lynn M Nussbaum | Nurse Practitioner | 40 Cross St, Suite 300, Norwalk, CT 06851-4647 | 2011-10-06 |
| 1518254812 | Erica Ozanne | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218271 | Brenda Nava | Physician Assistant | 13531 Thistle Ave, Norwalk, CA 90650-3244 | 2020-02-24 |
| 1700377546 | Constantino Papadopoulos | Physician Assistant | 23 Dairy Farm Rd, Norwalk, CT 06851-6024 | 2018-05-29 |
| 1245783380 | Danielle Nicole Munday | Physician Assistant | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | 2016-07-25 |
| 1912321803 | David Irving Allyn | Physician Assistant | 3 Oakwood Ave, Unit A25, Norwalk, CT 06850-1339 | 2014-02-12 |
| 1396816732 | Mary-jane Cross | Physician Assistant | 40 Stevens St, Norwalk, CT 06851 | 2006-11-09 |
| 1356410013 | Monica Moore | Physician Assistant | 10 Glover Ave, Norwalk, CT 06850-1202 | 2006-11-07 |
| 1609966993 | Shantell S Wray | Physician Assistant | 350 Main Ave, C/o Dr. Appleby School Based Health Center At Briggs Hs, Norwalk, CT 06851-1510 | 2006-10-15 |
| 1265448294 | Glenn Michael De Guzman | Physician Assistant | 13330 Bloomfield Ave Ste 111, Norwalk, CA 90650-3264 | 2006-07-31 |
| 1326026428 | Todd D Hills | Physician Assistant | 280 Benedict Ave Ste B, Norwalk, OH 44857-2374 | 2006-01-09 |
| 1114914744 | Gloria Degenhardt | Physician Assistant | 200 W North St., Norwalk, WI 54648-0225 | 2005-09-29 |
| Find all providers in NORWALK | ||||
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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.