LOUREN M GONZALES (NPI# 1972021582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972021582 |
| Entity Type | Individual |
| Full Name | LOUREN M GONZALES |
| Practice Address |
100 Nicolls Rd Hsc Level 4 Room 120 Hsc Level 4 Room 120 Stony Brook NY 11790 |
| Mailing Address |
100 Nicolls Rd Hsc Level 4 Room 120 Stony Brook NY 11790-3407 |
| Practice Telephone | 6314445400 |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
307459 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 NICOLLS RD HSC LEVEL 4 ROOM 120 HSC LEVEL 4 ROOM 120 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| 1023373685 | Jongkoo Ahn | Acupuncturist | 215 Hallock Rd Ste 6a, Stony Brook, NY 11790 | 2012-07-10 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764006 | Jeanine Michelle Carnival | Nurse Practitioner | 101 Nicholls Road Stony Brook Hospita, Stony Brook, NY 11794-0001 | 2019-08-07 |
| 1285104588 | Jacob Parathodathil Joseph | Nurse Practitioner | Stony Brook Medical Center Health Science Center T 16, Stony Brook, NY 11794-0001 | 2018-11-29 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1467960294 | Christian Routh | Nurse Practitioner | Vascular Surgery Hsc T19-090, Stony Brook, NY 11794-8191 | 2018-01-15 |
| 1144745258 | Danielle J Kelly | Nurse Practitioner | Stony Brook Medicine 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2017-08-09 |
| 1205289592 | Stefani Lynn Pagliuca | Nurse Practitioner | Department of Medicine Hsc T16, Rm020, Stony Brook, NY 11794-8403 | 2016-07-21 |
| 1477975845 | Michele L Degraw | Nurse Practitioner | Hsc T15-040, Stony Brook, NY 11794-4413 | 2014-01-20 |
| 1245503804 | Antonieta Ababa Rosenberg | Nurse Practitioner | 13n Neurology Department Rm 023, Stony Brook University Hospital, 101 Nichols Rd, Stony Brook, NY 11794-0001 | 2012-02-13 |
| 1649555889 | Kerin Culver Beedenbender | Nurse Practitioner | 19-20 Health Sciences Ctr, Stony Brook, NY 11794-0001 | 2011-10-19 |
| 1962713420 | Linda Marie Cimino | Nurse Practitioner | Suny Stony Brook Dept of Anesthesiology, Hsc L 4, Rm 060, Stony Brook, NY 11794-8480 | 2010-06-29 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on LOUREN M 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.