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STEPHEN G GONSALVES FNP, PHD
NPI 1205316759
Nurse Practitioner - Family in Washington, DC

Active since August 15, 2018
500 12TH ST SW, WASHINGTON, DC 20536(240) 853-5887 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen G Gonsalves Fnp, Phd NPPES

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

STEPHEN G GONSALVES FNP, PHD (NPI 1205316759) is an individual family provider in Washington, District Of Columbia, licensed in Maryland (R136201) and active in the NPI registry since August 2018. He maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1205316759
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHEN G GONSALVESCredential: FNP, PHD
Location Address500 12TH ST SWWashington, DC 20536-5098
Mailing Address217 Creek Valley LnRockville, MD 20850 · (240) 780-6799
Phone(240) 853-5887
Sole ProprietorYes
Enumeration DateAugust 15, 2018
✔ NPI 1205316759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R136201
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License R136201 (MD)
500 12TH ST SW, Washington, DC 20536
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Secondary Practice Location 1

Location 110 Center DriveBethesda, MD 20814 · Phone (240) 780-6799

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 Stephen Gonsalves's NPI number?

The NPI number for Stephen Gonsalves is 1205316759. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Stephen Gonsalves located?

Stephen Gonsalves practices at 500 12th St SW, Washington, DC 20536. The listed phone number is (240) 853-5887.

What is Stephen Gonsalves's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stephen Gonsalves was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.