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TINA MARIE GONZALES
NPI 1871020255
Nurse Practitioner - Family in Santa Fe, NM

Active since May 17, 2017
811 SAINT MICHAELS DR, SANTA FE, NM 87505(505) 988-2049(505) 992-2930 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, May 17, 2017 (2 updates tracked since 2017).

About Tina Marie Gonzales NPPES

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

TINA MARIE GONZALES (NPI 1871020255) is an individual family provider in Santa Fe, New Mexico, licensed in New Mexico (CNP-03228) and active in the NPI registry since May 2017. She maintains a secondary practice location in Espanola.

NPPES Registry Identity

NPI1871020255
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA MARIE GONZALES
Location Address811 SAINT MICHAELS DRSanta Fe, NM 87505-7641
Mailing Address166 County Road 119Espanola, NM 87532-3502 · (505) 501-4408
Phone(505) 988-2049
Fax(505) 992-2930
Sole ProprietorYes
Enumeration DateMay 17, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1871020255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · CNP-03228
811 SAINT MICHAELS DR, Santa Fe, NM 87505
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Secondary Practice Location 1

Location 1166 County Road 119Espanola, NM 87532-3502 · Phone (505) 501-4408 · Fax (505) 501-4408

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEL CORAZON HOSPICE LLC
Hospice Care, Community Based
811 SAINT MICHAELS DR, SUITE 207
SANTA FE, NM 87505
Santa Fe County (505) 988-2049
DR. ALICE KAHLE PH.D.
Psychologist (Clinical)
811 SAINT MICHAELS DR, SUITE 105
SANTA FE, NM 87505
Santa Fe County (505) 992-2878

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 Tina Gonzales's NPI number?

The NPI number for Tina Gonzales is 1871020255. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Tina Gonzales located?

Tina Gonzales practices at 811 Saint Michaels Dr, Santa Fe, NM 87505. The listed phone number is (505) 988-2049.

What is Tina Gonzales'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 Tina Gonzales was last updated on March 17, 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.