Gregorio Jose Robles Fernandez

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP145545 Issued in TX

Practice address

225 N Virginia St
Port Lavaca, TX 77979-3430

Phone

(832) 691-4694

NPI assigned

Aug 3, 2020

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Total MD Physicians Group, PLLC

  dba Total Behavioral Health

  • Family Medicine Physician
  • Austin, TX
  • NPI 1982031852
  Medicare reassignment NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1073123360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N LAMAR BLVD",
            "address_2": "STE 200A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787535976",
            "telephone_number": "512-782-9312",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793430",
            "telephone_number": "832-691-4694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "TX",
            "postal_code": "775715327",
            "country_code": "US",
            "telephone_number": "281-941-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "GREGORIO",
        "middle_name": "JOSE ROBLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP145545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie-Garcia Dobbins, PA-C
• Kirsten Michelle Edwards, PHARMACY TECHNICIAN
• Epoch Pharmacy Solutions II LLC (Medicine Man Pharmacy-Port Lavaca)
• Ess of Port Lavaca LLC
• Leigh Ann Falcon, M.D.
• Finer Path Counseling
• Jerry Lee Followwill, M.D.
• Julie Frankson, PHARM.D
• Funmi Abosede (ABKA Dental)
• Michael Leon Gaines, FNP-C

• Adult Health Nurse Practitioner in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.