Jacqueline Marie Gonzalez, AUD
NPI 1063219400ActiveIndividual· Audiologist· Phoenix, AZ
Audiologist (AUD) in Phoenix, Arizona, licensed in OR and AZ, with an NPI issued in February 2025. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1063219400 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | Feb 25, 2025 |
| Last updated in NPPES | Mar 18, 2026 |
| Certified by provider | Mar 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 31158 | OR |
| Audiologist | 231H00000X | DA15980 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (OR) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Other Audiologist providers in Phoenix
- 1851556104
- 1871615427
- 1881015741
- 1710099643
- 1184544504
- 1437833696
- 1275867889
- 1902478605
- 1861346272
- 1831567916
- 1528487535
- 1306985163