KELLY GONZALES (NPI# 1669887584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669887584 |
| Entity Type | Individual |
| Full Name | KELLY GONZALES |
| Credential | FNP |
| Practice Address |
985330 Nebraska Medical Ctr Omaha NE 68198-5330 |
| Mailing Address |
4302 N 161st St Omaha NE 68116-2988 |
| Practice Telephone | 4025594111 |
| Mailing Telephone | 4029681258 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
111658 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194109702 | Kelly D Gonzales | Nurse Practitioner | 4282 Genesee Ave Ste 103, San Diego, CA 92117 | 2015-07-13 |
| 1770192841 | Kelly Gonzales | Behavior Technician | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-07-24 |
| 1497088868 | Kelly Herzstein Gonzales | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2009-09-16 |
| 1184899874 | Kelly De Gonzales | Surgery | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 | 2008-04-24 |
| 1417128687 | Kelly Marie Gonzales | Dentist | 1103 Rivery Blvd, Ste. 140, Georgetown, TX 78628-3034 | 2008-03-17 |
| 1720188295 | Kelly Aileen Gonzales | Physician Assistant | 5207 Heritage Ave, Colleyville, TX 76034 | 2006-09-25 |
| Street Address |
985330 NEBRASKA MEDICAL CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386989218 | Rachel Nicole Fortney | Nurse Practitioner | 985330 Nebraska Medical Ctr, Room 40114, Omaha, NE 68198-5330 | 2012-12-04 |
| 1669966909 | Paula Renee Schaefer | Nurse Practitioner | 985330 Nebraska Medical Ctr, Omaha, NE 68198-5330 | 2018-06-20 |
| 1851812309 | Mark Alan Darby I | Registered Nurse | 985330 Nebraska Medical Ctr, Omaha, NE 68198-2702 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465048 | Lisa J Lehr | Nurse Practitioner | 6336 John J Pershing Dr Fl Lozier2, Omaha, NE 68110-1100 | 2020-10-24 |
| 1629683719 | Jessica Leigh Queen | Nurse Practitioner | 6818 N 102nd Avenue Cir, Omaha, NE 68122-3009 | 2020-09-15 |
| 1639780414 | Nicolette R Lovitt | Nurse Practitioner | 14721 Stone Ave, Omaha, NE 68116-4323 | 2020-08-13 |
| 1376153197 | Matilda R Beaudette | Nurse Practitioner | 11108 Hilltop Ave, Omaha, NE 68164-2273 | 2020-08-06 |
| 1720697303 | Acacia Schulte-garcia | Nurse Practitioner | 5630 N 116th Cir, Omaha, NE 68164-1427 | 2020-07-29 |
| 1336775857 | Christina Lee Hoy | Nurse Practitioner | 986805 Nebraska Medical Ctr, Omaha, NE 68198-6805 | 2020-03-16 |
| 1144852666 | Margaret Messersmith | Nurse Practitioner | S 42nd & Emile St, Omaha, NE 68198-0001 | 2020-02-12 |
| 1881237766 | Ashlie Renae Zima | Nurse Practitioner | 16909 Lakeside Hills Ct Ste 208, Omaha, NE 68130-4663 | 2019-10-23 |
| 1659920775 | Simone Yamdaare Redboy | Nurse Practitioner | 11348 Taylor St, Omaha, NE 68164-2341 | 2019-09-11 |
| 1316592629 | Megan Nicole Mertz | Nurse Practitioner | 1624 S 153rd St, Omaha, NE 68144-5145 | 2019-08-04 |
| Find all providers in OMAHA | ||||
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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.