Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shivanna Subramani Gonzalez, DNP

Individual provider Family Nurse Practitioner · NPI 1457758179

Shivanna Subramani Gonzalez, DNP is a Nurse Practitioner in Wolcott, Connecticut. Qualified in 2014, 12 years ago. Practices with Ptsma Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Practice location Address checks out

504 Wolcott Rd
Wolcott, CT 06716-2461
Phone: (203) 725-5339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 009553 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5993 (CT)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 5993 (CT)

Record details

NPI number1457758179
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorYes
NPI enumeratedNovember 24, 2014
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ptsma Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wolcott