Active NPI
Glenda Renee Gonzalez, LVN
- Personal Care Attendant
- San Diego, TX
National Provider Identifier
1033517354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 138291
- Practice address
- 500 S Dr Ee Dunlap St
San Diego, TX 78384-3212 - Phone
- (361) 834-3526
- NPI assigned
- Dec 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 138291 | TX | Primary |
Addresses
Primary practice location
500 S Dr Ee Dunlap St
San Diego, TX 78384-3212
Mailing address
500 S Dr Ee Dunlap St
San Diego, TX 78384-3212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138291 | TX | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1033517354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S DR EE DUNLAP ST",
"city": "SAN DIEGO",
"state": "TX",
"postal_code": "783843212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S DR EE DUNLAP ST",
"city": "SAN DIEGO",
"state": "TX",
"postal_code": "783843212",
"telephone_number": "361-834-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GLENDA",
"middle_name": "RENEE",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "TX",
"license": "138291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.