Individual provider Active NPI

Dina Gonzalez, NP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1063730828
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
735336 Issued in TX
Practice address
1717 Main Street
Suite 5200
Dallas, TX 75201-7365
Phone
(214) 712-2448
NPI assigned
May 4, 2010
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 735336 TX
Nurse Practitioner 363L00000X 735336 TX Primary

Addresses

Primary practice location

1717 Main Street
Suite 5200
Dallas, TX 75201-7365

Mailing address

1717 Main Street
Suite 5200
Dallas, TX 75201-7365
Phone (214) 712-2448

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101122000691 TX Practitioner - Nurse Practitioner 7416143003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians

Practice addresses (Care Compare)

136 Drifting Wind Run
Suite 117
Dripping Springs, TX 78620-5628
Phone (512) 737-5945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
735336TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Urgent Care - Bastrop Nurse Practitioner CurrentSince Jan 20, 2025 Accepting new patients
Fast Track Urgent Care - Dripping Springs Nurse Practitioner Current Accepting new patients
Fast Track Urgent Care Emergency Medicine CurrentSince Jan 20, 2025 Accepting new patients
St. David's Carenow Urgent Care PLLC PastSince Apr 28, 2014 Accepting new patients

Locations

136 Drifting Wind Run
Ste 117
Dripping Springs, TX 78620
Phone (210) 906-8478

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1063730828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN STREET",
            "address_2": "SUITE 5200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017365",
            "telephone_number": "214-712-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN STREET",
            "address_2": "SUITE 5200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017365",
            "telephone_number": "214-712-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "735336",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "735336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.