Active NPI
Minerva Gonzalez
- Community Health Worker
- Lufkin, TX
National Provider Identifier
1194537530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 11499
- Practice address
- 766 Fair Oaks Cir
Lufkin, TX 75901-5499 - Phone
- (936) 707-3451
- NPI assigned
- Jan 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 11499 | TX | Primary |
Addresses
Primary practice location
766 Fair Oaks Cir
Lufkin, TX 75901-5499
Mailing address
766 Fair Oaks Cir
Lufkin, TX 75901-5499
Phone (936) 707-3451
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11499 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1194537530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "766 FAIR OAKS CIR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759015499",
"telephone_number": "936-707-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 FAIR OAKS CIR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759015499",
"telephone_number": "936-707-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MINERVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "11499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.