MARY M GONZALES (NPI# 1659687580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659687580 |
| Entity Type | Individual |
| Full Name | MARY M GONZALES |
| Other Name | MARY M JACOBS |
| Credential | APRN |
| Practice Address |
1001 N Minneapolis St Wichita KS 67214-3127 |
| Mailing Address |
Po Box 1358 Wichita KS 67201-1358 |
| Practice Telephone | 3162931840 |
| Practice Fax Number | 3162931866 |
| Mailing Telephone | 3162933429 |
| Mailing Fax Number | 3162931882 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-75195-082 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830983 | Mary Louise Gonzales | Doula | 5857 Hersholt Ave, Lakewood, CA 90712-1339 | 2019-09-19 |
| 1396213583 | Mary Elizabeth Gonzales | Behavior Technician | 1401 Parkmoor Ave Ste 108, San Jose, CA 95126-3403 | 2018-11-06 |
| 1730660234 | Mary Elva Gonzales | Nurse Practitioner | 188 Lantana Vly, Spring Branch, TX 78070-6098 | 2018-08-23 |
| 1396124764 | Mary Kristina Gonzales | Massage Therapist | 5427 Chicago Ave Sw, B1, Lakewood, WA 98499-3323 | 2015-05-19 |
| 1780928465 | Mary Isabel Gonzales | Psychologist | 1613 Weighost Dr, Harlingen, TX 78552-4289 | 2012-11-19 |
| 1316171424 | Mary Laura Gonzales | Speech-Language Pathologist | 202 W. Sunset, B, San Antonio, TX 78209 | 2009-05-05 |
| 1730254764 | Mary J Gonzales | Nurse Practitioner | Rr Fruit Street, Yaw 8b, Boston, MA 02114-2696 | 2006-11-22 |
| 1356814495 | Mary Gonzales | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-01-10 |
| 1013403203 | Mary C Gonzales | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2018-07-10 |
| 1447770706 | Mary Gonzales | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-06-27 |
| Street Address |
1001 N MINNEAPOLIS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851366330 | Jeanette M Lanier | Nurse Practitioner | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2006-02-20 |
| 1790234656 | Brittany Seiler | Physician Assistant | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2016-10-03 |
| 1336697408 | Rose R Mueller | Physician Assistant | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2016-09-16 |
| 1487060216 | Kayla Del Rio | Nurse Practitioner | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2014-07-01 |
| 1518273796 | Crystal Harvey | Licensed Practical Nurse | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2010-08-25 |
| 1326354820 | Anne Price | Registered Nurse | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2010-08-23 |
| 1932415437 | Natasha Arnold | Registered Nurse | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2010-08-23 |
| 1447562152 | Samuel Akidiva | Internal Medicine | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2010-07-10 |
| 1770741548 | Rachna Kalia | Psychiatry & Neurology | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2008-05-29 |
| 1518164656 | Cheryl Wehler | Psychiatry & Neurology | 1001 N Minneapolis St, Wichita, KS 67214-3127 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| 1598378986 | Nicole Dee Kirk | Nurse Practitioner | 2407 N Callahan St, Wichita, KS 67205-1471 | 2020-08-26 |
| 1831715218 | Keyona Jo Greenwood | Nurse Practitioner | 3161 N Webb Rd Ste 200, Wichita, KS 67226-8105 | 2020-06-22 |
| 1457983934 | Carrie Lemke | Nurse Practitioner | 110 N 127th St E Apt 714, Wichita, KS 67206-2764 | 2020-02-12 |
| 1053953711 | Aurora Cheyenne Yontz | Nurse Practitioner | 8338 E 21st St N, Wichita, KS 67206-2979 | 2019-10-15 |
| 1629620117 | Ashley N Heimerman | Nurse Practitioner | 5000 S Clifton Ave # 200, Wichita, KS 67216-3408 | 2019-07-15 |
| Find all providers in WICHITA | ||||
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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.