JESSICA GONZALES (NPI# 1720624356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720624356 |
| Entity Type | Individual |
| Full Name | JESSICA GONZALES |
| Practice Address |
2501 Kentucky Ave Paducah KY 42003-3813 |
| Mailing Address |
125 Lansdell Dr West Paducah KY 42086-9664 |
| Practice Telephone | 2705752100 |
| Mailing Telephone | 2702173519 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F11190306 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336543 | Jessica Gonzales | Technician, Pathology | 11274 S Fortuna Rd Ste D436, Yuma, AZ 85367-7847 | 2020-11-03 |
| 1790136745 | Jessica Gonzales | Dental Hygienist | 4800 Cutler Ave Ne, Albuquerque, NM 87110-4033 | 2016-06-30 |
| 1750784112 | Jessica Helena Gonzales | Nurse Practitioner | 16191 Ne 83rd St, Unit C101, Redmond, WA 98052-3996 | 2014-09-30 |
| 1124440706 | Jessica Gonzales | Doula | 4108 Sunset Blvd, Houston, TX 77005-1906 | 2014-01-15 |
| 1841813151 | Jessica Renee Gonzales | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-05-20 |
| 1962041467 | Jessica Marie Gonzales | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2019-12-31 |
| 1346895653 | Jessica Lee Gonzales | Speech-Language Pathologist | 1851 Golden Eagle Way Ste 43, Fleming Island, FL 32003-4334 | 2019-08-04 |
| 1093207540 | Jessica Jean Gonzales | Behavior Technician | 581 Highway J, Hayti, MO 63851-1200 | 2018-05-31 |
| 1013407535 | Jessica Sinay Gonzales | Nurse Practitioner | 8610 Martin Luther King Blvd, Houston, TX 77033-2308 | 2018-05-10 |
| 1801385455 | Jessica Gonzales | Behavior Technician | 209 E 7th St, Madera, CA 93638-3780 | 2018-05-08 |
| Street Address |
2501 KENTUCKY AVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213820 | Robert Timothy Mabry | Emergency Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2005-05-24 |
| 1700485794 | Heather Sutton | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-10-20 |
| 1881291250 | Aaron Douglas Garrett | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-10-07 |
| 1265044044 | William Kory Oliver | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-08-21 |
| 1720699010 | Bobbie Lee Smith | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-08-11 |
| 1245854355 | Whitley Jo Swift | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-06-04 |
| 1821624339 | Kaci Rae Medley | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-03-16 |
| 1093355448 | Peyton Diane Englert | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-01-14 |
| 1457904526 | Tanya Christine Cobb | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2019-07-18 |
| 1306309083 | Jamie Pepi Shelstad | Physician Assistant | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1194103986 | Sunny Mehrotra | Family Medicine | 225 Medical Center Dr Ste 302, Paducah, KY 42003-7915 | 2015-05-12 |
| 1477979698 | Kenneth Allan Runciman | Family Medicine | 3940 Phillips Ave, Paducah, KY 42001-4648 | 2014-03-12 |
| 1730213406 | Family Medicine Associates of Western Kentucky, Pllc | Family Medicine | 6035 Kentucky Dam Rd, Paducah, KY 42003-9472 | 2007-03-15 |
| 1366518060 | Erika D Dallas | Family Medicine | 4645 Village Square Drive, Suite A, Paducah, KY 42001-5252 | 2006-11-27 |
| 1962584581 | Christi L Bonds | Family Medicine | 233 N 7th St, Paducah, KY 42001-1017 | 2006-10-20 |
| 1992763254 | Joseph D Wiggins | Family Medicine | 657 Lone Oak Road, Suite 1, Paducah, KY 42003-4547 | 2006-05-03 |
| 1366409088 | William R Conyer | Family Medicine | 5158 Village Square Dr, Paducah, KY 42001-9060 | 2006-04-27 |
| 1699772244 | Terri H Telle | Family Medicine | 6321 Kentucky Dam Rd, Paducah, KY 42003-9471 | 2005-06-28 |
| 1912903741 | David Earl Smith Jr. | Family Medicine | 3240 Irvin Cobb Dr, Paducah, KY 42003-0337 | 2005-06-27 |
| Find all providers in PADUCAH | ||||
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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.