KRISTEN C. GONZAGA (NPI# 1619265659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619265659 |
| Entity Type | Individual |
| Full Name | KRISTEN C. GONZAGA |
| Credential | APN, CPNP |
| Practice Address |
373 Summit St Elgin IL 60120-3733 |
| Practice Telephone | 8478883631 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2017-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704298000 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209008881 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
373 SUMMIT ST |
| City | ELGIN |
| State | IL |
| Zip Code | 60120-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581199 | Regional Diagnostics, LLC | Clinic/Center | 373 Summit St, Elgin, IL 60120-3733 | 2005-10-11 |
| 1780281675 | Kelsa Marie Degarmo | Physician Assistant | 373 Summit St, Elgin, IL 60120-3733 | 2020-10-05 |
| 1841833217 | Bee Chang | Nurse Practitioner | 373 Summit St, Elgin, IL 60120-3733 | 2019-10-17 |
| 1760963938 | Greater Elgin Family Care Center Integrated Health Home | Family Medicine | 373 Summit St, Elgin, IL 60120-3733 | 2018-08-27 |
| 1144730417 | Morgan Lynn White | Physician Assistant | 373 Summit St, Elgin, IL 60120-3733 | 2017-10-02 |
| 1699195784 | Ashley Wayne | Nurse Practitioner | 373 Summit St, Elgin, IL 60120-3733 | 2014-04-16 |
| 1912336082 | Jennifer Biel | Physician Assistant | 373 Summit St, Elgin, IL 60120-3733 | 2013-11-08 |
| 1871934786 | Samantha Kaylee Metoyer Horton | Counselor | 373 Summit St, Elgin, IL 60120-3733 | 2013-07-09 |
| 1508107749 | Elgin Universal Dental LLC | Dentist | 373 Summit St, Suite # 108, Elgin, IL 60120-3733 | 2013-03-13 |
| 1437422128 | Elgin Universal Dental | Dentist | 373 Summit St, Suite 108, Elgin, IL 60120-3733 | 2012-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
| 1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
| Find all providers in zip 60120 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699195891 | Lauren Duffy | Nurse Practitioner | 1015 Summit St, Elgin, IL 60120-4362 | 2014-04-26 |
| 1891095923 | Jennifer K Davis | Nurse Practitioner | 1015 Summit St, Elgin, IL 60120-4362 | 2010-10-22 |
| 1558410159 | Linda M Kalsow | Nurse Practitioner | 1015 Summit St, Elgin, IL 60120-4362 | 2007-01-10 |
| 1255304945 | Suzanne Michelle Teal | Nurse Practitioner | 2050 Larkin Ave, Elgin, IL 60123-4405 | 2006-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
| 1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
| 1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
| 1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
| 1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| 1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
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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.