Individual provider Active NPI

Yadelin Gonzalez, APRN

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1154935203
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1106384 Issued in TX
Practice address
10242 Greenhouse Rd Ste 802
Cypress, TX 77433-1833
Phone
(832) 674-4512
NPI assigned
Sep 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11008809 FL
Family Nurse Practitioner 363LF0000X 1106384 TX Primary

Addresses

Primary practice location

10242 Greenhouse Rd Ste 802
Cypress, TX 77433-1833

Mailing address

7310 Flintrock Hollow TRL
Richmond, TX 77407-2440
Phone (786) 431-9730

Other practice location 1

10120 SW 215th St
Cutler Bay, FL 33189-3037
Phone (786) 431-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008809FLMDFamily Nurse Practitioner
1106384TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1154935203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 FLINTROCK HOLLOW TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072440",
            "telephone_number": "786-431-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10242 GREENHOUSE RD STE 802",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331833",
            "telephone_number": "832-674-4512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10120 SW 215th St",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331893037",
            "country_code": "US",
            "telephone_number": "786-431-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "YADELIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008809",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1106384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.