Individual provider Active NPI

Dianira C Gonzales, SLP

  • Speech-Language Pathologist
  • McAllen, TX
National Provider Identifier
1194929703
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18126 Issued in TX
Practice address
1217 W. Houston Ave
McAllen, TX 78501-5012
Phone
(956) 631-9171
Fax
(956) 631-7566
NPI assigned
Jun 14, 2007
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 18126 TX Primary

Addresses

Primary practice location

1217 W. Houston Ave
McAllen, TX 78501-5012

Mailing address

1217 W. Houston Ave
McAllen, TX 78501-5012
Phone (956) 631-9171

Other identifiers 1

IdentifierTypeStateIssuer
1875825-03MedicaidTX

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
18126TXMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Rio Grande Valley Speech-Language Pathologist CurrentSince Aug 2, 2020 Accepting new patients

Locations

1217 W Houston Ave
McAllen, TX 78501
Phone (956) 631-9171

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1194929703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W. HOUSTON AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015012",
            "telephone_number": "956-631-9171",
            "fax_number": "956-631-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W. HOUSTON AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015012",
            "telephone_number": "956-631-9171",
            "fax_number": "956-631-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DIANIRA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1875825-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.