SARA LYNN GONZALEZ (NPI# 1083996763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083996763 |
| Entity Type | Individual |
| Full Name | SARA LYNN GONZALEZ |
| Credential | APN |
| Practice Address |
8865 W 400 N Ste 105 Michigan City IN 46360-9223 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2198772060 |
| Practice Fax Number | 2198772061 |
| Mailing Telephone | 3175284800 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003712A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201053810 | 05 | |
| IN | ANTHEM BCBS | 000000926552 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 770 Indian Boundary Rd Ste 202, Chesterton, IN 463041519 | 2199212000 | 2193958732 |
| 2590 Morthland Dr, Valparaiso, IN 463856701 | 2198618161 | 2198739504 |
| 1225 E Coolspring Ave Ste 200, Michigan City, IN 463606312 | 2198618161 | 2198739504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932755709 | Sara Beth Gonzalez | Occupational Therapy Assistant | 7001 N 10th St Ste 303, Mcallen, TX 78504-3347 | 2019-08-16 |
| 1760985303 | Sara Gonzalez | Counselor | 2753 W Division St, Chicago, IL 60622-2854 | 2018-03-09 |
| 1245685726 | Sara Gonzalez | Physical Therapy Assistant | 53 Harris Ave, Albany, NY 12208-3018 | 2016-05-03 |
| 1093952202 | Sara Gonzalez | Dental Assistant | 4000 La Rica Ave Ste D, Baldwin Park, CA 91706-3163 | 2009-01-09 |
| 1154530558 | Sara Luzines Gonzalez | Speech-Language Pathologist | 34 Calle 25 De Julio, Esquina Pasarel, Yauco, PR 00698-3602 | 2007-05-22 |
| 1316576978 | Sara Gonzalez | Behavior Technician | 1900 Aldersgate Rd, Little Rock, AR 72205-6620 | 2020-04-06 |
| 1932745775 | Sara Gonzalez | Behavior Technician | 6951 Pistol Range Rd, Tampa, FL 33635-9601 | 2019-11-26 |
| 1700345444 | Sara Lenise Gonzalez | Behavior Technician | 3230 E Imperial Hwy Ste 203, Brea, CA 92821-1706 | 2019-03-12 |
| 1770079345 | Sara Gonzalez | Specialist | 1133 Westchester Ave Ste N230, White Plains, NY 10604-3516 | 2018-07-07 |
| 1265938757 | Sara Isabel Gonzalez | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-04-03 |
| Street Address |
8865 W 400 N STE 105 |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-9223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750651188 | Jessica Sophia Bronner | Nurse Practitioner | 1225 E Coolspring Ave Ste 2b, Michigan City, IN 46360-6312 | 2012-01-02 |
| 1033419825 | Nichole M Shultz | Nurse Practitioner | 601 W. Kieffer Road, Michigan City, IN 46360-9599 | 2010-10-26 |
| 1356503189 | Vicki Overmyer | Nurse Practitioner | 8466 W Pahs Rd, Michigan City, IN 46360-2919 | 2008-07-02 |
| 1447357199 | Kimberly Kaye Pflughaupt | Nurse Practitioner | 3777 N Frontage Rd Ste 500, Michigan City, IN 46360-7697 | 2006-09-17 |
| 1063483642 | Christine Marie Maddox | Nurse Practitioner | 8865 W 400 N Ste 120, Michigan City, IN 46360-9011 | 2006-01-31 |
| 1841287299 | Nancy Jane Paunicka | Nurse Practitioner | 3777 North Frontage Road, Michigan City, IN 46360-7694 | 2005-09-30 |
| 1699390872 | Erica L Corradino | Nurse Practitioner | 710 Franklin St Ste 200, Michigan City, IN 46360-3564 | 2020-06-12 |
| 1548893084 | Lisa Neil | Nurse Practitioner | 3777 N Frontage Rd, Michigan City, IN 46360-7695 | 2020-02-12 |
| 1629614771 | Josephine Renae Chambers | Nurse Practitioner | 10176 W 400 N Ste B, Michigan City, IN 46360-9009 | 2019-11-25 |
| 1033754080 | Kristen R Novak | Nurse Practitioner | 8865 W 400 N Ste 155, Michigan City, IN 46360-9010 | 2019-11-14 |
| Find all providers in MICHIGAN CITY | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
Please comment or provide details below to improve the information on SARA LYNN GONZALEZ.
| 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.