PATRICIA SUSAN GONZALES (NPI# 1700398245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700398245 |
| Entity Type | Individual |
| Full Name | PATRICIA SUSAN GONZALES |
| Practice Address |
100 W Griggs Ave Las Cruces NM 88001-1234 |
| Mailing Address |
385 Calle De Alegra Ste A Las Cruces NM 88005-3423 |
| Practice Telephone | 5756472800 |
| Practice Fax Number | 5756472898 |
| Mailing Telephone | 5756472800 |
| Mailing Fax Number | 5756472898 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194131821 | Patricia Ludi Gonzales | Pharmacist | 5501 Cypress Ranch Blvd, Spicewood, TX 78669-6963 | 2014-07-02 |
| 1558705699 | Patricia A Gonzales | Case Manager/Care Coordinator | 880 E. Idaho, Las Cruces, NM 88001 | 2013-04-19 |
| 1720393432 | Patricia Leone Gonzales | Counselor | 84105 Colibri Ct, Indio, CA 92203-2971 | 2010-08-18 |
| 1811448178 | Patricia Gonzales | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2016-10-20 |
| 1518290972 | Patricia V Gonzales | Counselor | 2205 S Main St, Las Cruces, NM 88005-3113 | 2009-09-16 |
| 1881722569 | Patricia E Gonzales | Social Worker | 2611 Eubank Blvd Ne Bldg F, Sierra Alternative Hs, Albuquerque, NM 87112-1312 | 2007-03-02 |
| 1225163256 | Patricia Gonzales | Counselor | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | 2007-02-22 |
| 1053406306 | Patricia Elizabeth Gonzales | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2006-10-03 |
| 1891720074 | Patricia D Gonzales | Pediatrics | 505 N 6th Ave, Hopewell, VA 23860-2618 | 2006-07-12 |
| Street Address |
100 W GRIGGS AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843766 | Erika Lynn Thompson | Social Worker | 100 W Griggs Ave, Las Cruces, NM 88001 | 2005-10-03 |
| 1285247379 | Alisa Mercedes Montoya | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-08-28 |
| 1235748666 | Ladonna Jo Leonard | Social Worker | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-07-31 |
| 1518596915 | Jade Nicole Jenkins | Social Worker | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-04-07 |
| 1689201873 | Angela Renee Fresquez | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-03-26 |
| 1407496128 | Jessica H Sheen | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2020-01-10 |
| 1902443112 | Julia Maxine Silverman | Social Worker | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-12-06 |
| 1306482161 | Stephanie Necole Reiss | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-11-26 |
| 1902441280 | Indhira Felicia Lozano | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-11-11 |
| 1134764418 | Steven Noel Adams | Case Manager/Care Coordinator | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154942746 | Samantha Ashcroft | Peer Specialist | 2801 Missouri Ave Ste 22, Las Cruces, NM 88011-5062 | 2020-05-05 |
| 1558820043 | Gabriela C Ochoa | Peer Specialist | 2801 Missouri Ave Ste 38, Las Cruces, NM 88011-9151 | 2019-03-14 |
| 1922630755 | Katana Wolf | Peer Specialist | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-02-10 |
| 1306482161 | Stephanie Necole Reiss | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-11-26 |
| 1205472511 | Marisol Cano-garcia | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-21 |
| 1609412253 | Ginger Shannon | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-19 |
| 1114562360 | William Edward Branco | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-12 |
| 1972148120 | Martin Medina | Peer Specialist | 303 N Alameda Blvd, Las Cruces, NM 88005-2590 | 2019-11-12 |
| 1144887282 | Veronica Delgado | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-05-23 |
| 1174096945 | Anthony Charles Mason | Peer Specialist | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2019-01-04 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on PATRICIA SUSAN GONZALES.
| 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.