MR. NATHAN GONZALES (NPI# 1457793143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457793143 |
| Entity Type | Individual |
| Full Name | MR. NATHAN GONZALES |
| Practice Address |
80b Veterans Blvd Acl Ihs Acoma NM 87034 |
| Mailing Address |
Po Box 130 San Fidel NM 87049-0130 |
| Practice Telephone | 5055525385 |
| Practice Fax Number | 5055525828 |
| Mailing Telephone | 5055525385 |
| Mailing Fax Number | 5055525828 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 07001577 | NM | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | H3451 | 05 |
| Street Address |
80B VETERANS BLVD ACL IHS |
| City | ACOMA |
| State | NM |
| Zip Code | 87034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629421755 | Angela Kao | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2016-07-13 |
| 1043638521 | Xing Yang | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2014-04-02 |
| 1801220074 | Anwyn Pritchard | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2013-08-23 |
| 1588949093 | Alexander P Varga | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2011-10-15 |
| 1821371840 | Brian Tieu | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2011-09-26 |
| 1215210703 | Mindy Chou | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2011-09-21 |
| 1881976876 | Sophia Yoonjung Park | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2011-09-15 |
| 1164694808 | Yvonne Lutter | Psychologist | 80b Veterans Blvd, Acoma, NM 87034 | 2008-04-01 |
| 1912183393 | Venetta Joi Thompson | Nurse Practitioner | 80b Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 | 2008-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535192 | Troy Stephen Weeldreyer | Social Worker | 45 Pinsbaari Dr, Acoma, NM 87034 | 2020-07-16 |
| 1306486857 | Mallery Chino | Case Manager/Care Coordinator | 47 Pinsbarri Drive, Acoma, NM 87034 | 2020-01-13 |
| 1700340841 | Thomas Simon Vallo | Case Manager/Care Coordinator | 45 Pinbaari Drive, Acoma, NM 87034 | 2019-01-23 |
| 1649777053 | Amanda Jean Garcia | Counselor | 99b Sunrise Rd, Pueblo of Acoma, NM 87034 | 2018-04-11 |
| 1356850754 | Korey B Still | Dentist | 80 B Veterans Blvd., Acoma, NM 87034 | 2017-09-28 |
| 1508395278 | Shelby Bobelu | Social Worker | 45 Pinsbarri Dr., Acoma, NM 87034 | 2017-06-07 |
| 1558817270 | Amanda Lucario | Technician, Other | 1253 Haaku Road, Acoma, NM 87034 | 2016-09-01 |
| 1073961355 | Rhayna Dannielle Walizer | Social Worker | 45 Pinsbarri Dr, Acoma, NM 87034 | 2016-05-27 |
| 1417305715 | Everett Chavez | Counselor | 45 Pinsbaari, Acoma, NM 87034 | 2016-05-26 |
| 1952758047 | Lonnie Lewis | Counselor | 33 Pinsbaari Drive, Acoma, NM 87034 | 2016-05-18 |
| Find all providers in zip 87034 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669721122 | Shawn P Giorgianni | Emergency Medical Technician, Paramedic | 80 B Veterans Blvd, Acl-ihs, Acoma, NM 87034 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687589 | Amber D Vancamp | Emergency Medical Technician, Paramedic | 8-b Veterans Blvd, Acl Ihs, San Fidel, NM 87049-0130 | 2013-05-29 |
| 1396094488 | Frank Woods Soto Jr. | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg 831 832, Albuquerque, NM 87123-1019 | 2012-09-05 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1437150851 | James Michael Starr | Emergency Medical Technician, Paramedic | 2805b Las Vegas Ct, Las Cruces, NM 88007-4164 | 2005-08-09 |
| 1407368541 | Faith Ezenogha | Emergency Medical Technician, Paramedic | Unm Hospital, 2211 Lomas Blvd, Se, Albuquerque, NM 87106 | 2017-10-30 |
| 1902280621 | Anthony Rodgers | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-07-13 |
| 1205216827 | Brian Glenn | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Bldg 831/832, Albuquerque, NM 87123-3453 | 2015-06-09 |
| 1538549316 | Christopher Ortiz | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se, Albuquerque, NM 87123-3453 | 2015-06-05 |
| 1962882738 | Evan Pulliam | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 87123-3453 | 2015-06-05 |
| 1194164848 | Ezekiel Zamarripa | Emergency Medical Technician, Paramedic | 80b Veterans Blvd, Acl Ihs, San Fidel, NM 87049-0130 | 2013-06-17 |
| 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.