Individual provider Active NPI

Jessica Joy Gonzales, LM, CPM

  • Midwife
  • Houston, TX
National Provider Identifier
1124440706
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99555 Issued in TX
Practice address
4108 Sunset Blvd
Houston, TX 77005-1906
Phone
(713) 253-5959
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Midwife 176B00000X 99555 TX Primary

Addresses

Primary practice location

4108 Sunset Blvd
Houston, TX 77005-1906

Mailing address

6550 Mapleridge St Ste 100
Houston, TX 77081-4629
Phone (832) 899-4971

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

LicenseStateTypeSpecialty
99555TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Houston Birth and Wellness Center CurrentSince May 26, 2024 Accepting new patients
Heart of Houston Midwifery Midwife CurrentSince May 26, 2024 Accepting new patients

Locations

6550 Mapleridge St
Ste 100
Houston, TX 77081
Phone (832) 899-4971

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1124440706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814629",
            "telephone_number": "832-899-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051906",
            "telephone_number": "713-253-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.