Daniela Rae Gonzalez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1128339 Issued in TX

Practice address

15406 Northwest Blvd Ste B
Robstown, TX 78380-5865

Phone

(361) 232-4187

NPI assigned

Jul 12, 2023

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Family Wellness Clinic, Inc.

  • Family Medicine Physician
  • Robstown, TX
  • NPI 1629687728
  Medicare reassignment NPD
• Shea Physical Therapy Specialists LLC

  dba Shea Physical Therapy and Hand Therapy Services of Corpus Christi

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
  • NPI 1427634245
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1053090647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 DEFORREST ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042739",
            "telephone_number": "361-429-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 NORTHWEST BLVD STE B",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783805865",
            "telephone_number": "361-232-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DANIELA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1128339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy L Fuhrken, CFNP
• Candice Garcia, COTA
• Destiny Nicole Garcia, PHARMD
• Eloy Garcia Jr.
• Paula M Glenn, PTA
• Georgina Guerrero-Bijarro, LPC
• Ron Jeffrey Guevara, D.O.
• Ronald Holdorf, PA-C
• Jennifer Cecile Hole
• I&a Dental PLLC (Robstown Smiles)

• Family Nurse Practitioner in Robstown, TX
• Providers in Robstown, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.