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Deactivated NPI 1780116723 Deactivated / Inactive NPI Female Practitioner

Toni Gonzales

Licensed Practical Nurse • Longview, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Toni Gonzales has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 29, 2017
NPI Deactivation Date June 15, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Toni Gonzales was a registered Licensed Practical Nurse practicing in Longview, WA. Throughout an active medical career spanning 4 years, Toni Gonzales provided care at the practice location at 921 14TH AVE until profile deactivation on 2021-06-15.

Practice Location & Contact Primary Location

Practice Address

921 14th Ave

Longview, WA 986322316

Telephone 3604230203
Fax 3605770269
Associated Practice Facility / Clinic
🏢 Columbia Wellness Facility NPI 1487659579

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Longview, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP00019617

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003328261
NPI 1013150119

Master of Arts

NPI 1013415439
Evalyn Evangelista , RN

Registered Nurse

NPI 1013472984

Registered Nurse

Melissa Jarvis

Counselor - Mental Health

NPI 1013565357
Heather Gaines

Counselor - Mental Health

NPI 1023446325

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated June 15, 2021

Record deactivated on June 15, 2021

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Updated Practice Location August 14, 2019

Registered at 615 8TH STREET, HOQUIAM, WA 98550 (Tel: 3604230203)

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Updated Business Mailing Address August 14, 2019

Registered at PO BOX 1847, LONGVIEW, WA 98632 (Tel: 3604230203)

NPI Profile Active March 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2017

Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)

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Updated Business Mailing Address March 29, 2017

Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)

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Provider Name / Credentials Updated March 29, 2017

Recorded as TONI GONZALES

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2017

Licensed Practical Nurse (License #LP00019617 in WA)

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Initial NPI Registration & Enumeration March 29, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780116723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2017
Last Update: March 29, 2017
Deactivation Date: June 15, 2021

Mailing Address

921 14th Ave

Longview, WA 986322316

Phone: 3604230203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.