ELIZABETH GONZALES (NPI# 1750639647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750639647 |
| Entity Type | Individual |
| Full Name | ELIZABETH GONZALES |
| Credential | LPN |
| Practice Address |
985 Taylor St Sw Conyers GA 30012-5357 |
| Mailing Address |
2570 Riverside Pkwy P. O. Box 897 Lawrenceville GA 30046-3339 |
| Practice Telephone | 7707854345 |
| Mailing Telephone | 6784426884 |
| Mailing Fax Number | 7703394297 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN081112 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000456486A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043234453 | Elizabeth Gonzales | Specialist | 417 Storrs Rd, Mansfield Center, CT 06250-1200 | 2006-07-27 |
| 1619522190 | Elizabeth Renee Gonzales | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2019-08-01 |
| 1285199380 | Elizabeth Gonzales | Counselor | 2102 Pecos St Ste 10, San Angelo, TX 76901-3061 | 2019-02-04 |
| 1063903979 | Elizabeth Gonzales | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-05-25 |
| 1023550266 | Elizabeth Gonzales | Licensed Practical Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2016-11-04 |
| 1558816108 | Elizabeth Gonzales | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2016-08-23 |
| 1881068096 | Elizabeth Gonzales | Marriage & Family Therapist | 17701 San Pasqual Valley Rd, Escondido, CA 92025-5301 | 2015-11-25 |
| 1619372315 | Elizabeth Gonzales | Case Manager/Care Coordinator | 43520 Division St, Lancaster, CA 93535-4089 | 2014-10-24 |
| 1598059123 | Elizabeth Neal Gonzales | Dietitian, Registered | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2011-05-31 |
| 1013245158 | Elizabeth Gonzales | Case Manager/Care Coordinator | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2009-12-01 |
| Street Address |
985 TAYLOR ST SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-5357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215285101 | Camille Clarke | Licensed Practical Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1285103499 | Gaynor Powell | Nurse Practitioner | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2018-11-16 |
| 1689922544 | Kristen Cranford | Registered Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1396093282 | Magan Maddox | Licensed Practical Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1134477029 | Shontell Robbins | Nurse Practitioner | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1376891267 | Kethia Shanelle Washington | Registered Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1568710457 | Toni-marie Partridge | Registered Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482140 | Antronette Darrell | Licensed Practical Nurse | 1578 Cherry Hill Rd Sw, Conyers, GA 30094-6835 | 2020-09-21 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1215285101 | Camille Clarke | Licensed Practical Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1538417886 | Quatina Willis | Licensed Practical Nurse | 612 Keswick Village Ct Ne, Conyers, GA 30013-6523 | 2012-08-16 |
| 1174894729 | Sharon Denise Vincent | Licensed Practical Nurse | 2517 Fraggle Roc, Conyers, GA 30012-2882 | 2012-01-13 |
| 1346285020 | Glenn Dale Moragne | Licensed Practical Nurse | 2808 Havenwood Dr, Conyers, GA 30094-8005 | 2006-06-18 |
| 1396093282 | Magan Maddox | Licensed Practical Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1326646639 | Yolanda Glover-harden | Licensed Practical Nurse | 6214 Hickory Lane Cir, Union City, GA 30291-5509 | 2020-10-09 |
| 1831706423 | Sonia Dareus | Licensed Practical Nurse | 1495 Cain Ct N, Douglasville, GA 30134-3681 | 2020-09-28 |
| 1760097778 | Christal Latrice Callier | Licensed Practical Nurse | 1995 Matt Dr, Austell, GA 30168-4330 | 2020-09-15 |
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1689287641 | Lydia Gennie | Licensed Practical Nurse | 1004 Shoreline Dr, Bainbridge, GA 39817-8393 | 2020-08-28 |
| 1558972588 | Starla Lynn Waddell | Licensed Practical Nurse | 675a Moran Lake Rd Ne, Rome, GA 30161-2106 | 2020-08-13 |
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1902414683 | Vernita Monica Washington | Licensed Practical Nurse | 1974 Talmadge Rd, Allenhurst, GA 31301-3201 | 2020-07-17 |
| 1912524067 | Kuluvanda Quarlette Cason | Licensed Practical Nurse | 241 Point Rd, Thomasville, GA 31757-0940 | 2020-07-05 |
| 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.