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

Tiffany A Gonzalo, CRNP

Individual provider Family Nurse Practitioner · NPI 1700167822

Tiffany A Gonzalo, CRNP is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2011, 15 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
15
Licensed in
PA, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

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Practice location Address checks out

4035 Electric Rd Ste B
Roanoke, VA 24018-8449
Phone: (540) 767-0380
Fax: (540) 772-2370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1229 3rd St Sw, Roanoke, VA 24016-4611 — (540) 512-5200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024185508 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP011520 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024185508 (VA)

Record details

NPI number1700167822
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 2, 2011
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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