Active NPI
Dina Gonzalez, NP
- Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 735336
- Practice address
- 1717 Main Street
Suite 5200
Dallas, TX 75201-7365 - Phone
- (214) 712-2448
- NPI assigned
- May 4, 2010
- Last updated
- Aug 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 735336 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Track Urgent Care - Bastrop | Nurse Practitioner | Current | Accepting new patients |
| Fast Track Urgent Care - Dripping Springs | Nurse Practitioner | Current | Accepting new patients |
| Fast Track Urgent Care | Emergency Medicine | Current | Accepting new patients |
| St. David's Carenow Urgent Care PLLC | Past | 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.
-
dba Fast Aid Urgent Care - Bulverde
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1497151237
Emergency Medicine
-
dba Fast Aid Urgent Care - Bastrop
- Urgent Care Clinic/Center
- Bastrop, TX
- NPI 1962193680
Nurse Practitioner
-
dba Fast Aid Urgent Care - Dripping Springs
- Urgent Care Clinic/Center
- Dripping Springs, TX
- NPI 1588353130
Nurse Practitioner
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.