RAVEN GONZALEZ
NPI 1083014294
Licensed Practical Nurse in Shirley, NY

Q: What is Raven Gonzalez's NPI number?

The NPI number for Raven Gonzalez is 1083014294. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Q: What is Raven Gonzalez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Gonzalez was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 26, 2014

87 NORTHERN BLVD, SHIRLEY, NY 11967(631) 357-6892 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Raven Gonzalez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN GONZALEZ (NPI 1083014294) is an individual licensed practical nurse in Shirley, New York, licensed in New York (319600) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1083014294

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameRAVEN GONZALEZ

Location Address87 NORTHERN BLVDShirley, NY 11967-2320

Mailing Address87 Northern BlvdShirley, NY 11967-2320 · (631) 357-6892

Phone(631) 357-6892

Sole ProprietorYes

Enumeration DateAugust 26, 2014

✔ NPI 1083014294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 319600

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

87 NORTHERN BLVD, Shirley, NY 11967

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Gonzalez's NPI number?

The NPI number for Raven Gonzalez is 1083014294. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Raven Gonzalez located?

Raven Gonzalez practices at 87 Northern Blvd, Shirley, NY 11967. The listed phone number is (631) 357-6892.

What is Raven Gonzalez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Raven Gonzalez was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.