Jessica Maria Gonzalez, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

328955 Issued in TX

Practice address

1933 Cottonwood Way
San Antonio, TX 78253-4495

Phone

(210) 577-9855

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Maria Bonugli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1194284802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 COTTONWOOD WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534495",
            "telephone_number": "210-577-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 COTTONWOOD WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534495",
            "telephone_number": "210-577-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "328955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BONUGLI",
            "middle_name": "MARIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaime Alejandro Gonzalez
• Javier G Gonzalez, M.D. PA
• Jenina Gonzalez
• Jennifer Gonzalez, LPC
• Jennifer Lynn Gonzalez, MSN, APRN, FNP-C
• Jessica Marie Gonzalez, MD
• Jesus Cruz Gonzalez, HIS
• Jesus Manuel Gonzalez, DDS, MD
• Jocelyn Gonzalez
• Joelene Rene Gonzalez, LMSW

• Licensed Vocational Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.