IndividualActive
Raven Gonzalez
NPI 1083014294 · Licensed Practical Nurse · Shirley, NY
Raven Gonzalez is a Licensed Practical Nurse provider in Shirley, NY (NPI 1083014294).
Provider details
- NPI number
- 1083014294
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 319600 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
87 Northern Blvd
Shirley, NY 11967-2320
Phone: (631) 357-6892
Street-level locationGet directions
Mailing address
87 Northern Blvd
Shirley, NY 11967-2320
Registry dates
- Enumerated
- 2014-08-26
- Last updated
- 2014-08-26
Frequently asked questions
- What is Raven Gonzalez's NPI number?
- Raven Gonzalez's National Provider Identifier (NPI) is 1083014294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raven Gonzalez's specialty?
- Raven Gonzalez is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Raven Gonzalez located?
- Raven Gonzalez's practice location on file with NPPES is 87 Northern Blvd, Shirley, NY 11967-2320.
- What is Raven Gonzalez's phone number?
- The practice phone number listed in the NPPES registry for Raven Gonzalez is (631) 357-6892.
- Is Raven Gonzalez's NPI active?
- Yes — Raven Gonzalez's NPI (1083014294) is active in the NPPES registry as of the last update on 2014-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.