Individual provider Active NPI

Juana Aleida Gomez, FNP

  • Nurse Practitioner
  • Weslaco, TX
National Provider Identifier
1215695572
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1059072 Issued in TX
Practice address
1010 James St
Weslaco, TX 78596-6654
Phone
(956) 968-1621
Fax
(956) 447-0646
NPI assigned
Dec 3, 2021
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1059072 TX Primary

Addresses

Primary practice location

1010 James St
Weslaco, TX 78596-6654

Mailing address

1010 James St
Weslaco, TX 78596-6654
Phone (956) 968-1621

Other names 1

  • Juana Aleida Gonzalez Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.rgvadultmedicine.com Direct Rio Grande Valley Adult & Internal Medicine Specialists PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208004672 TX Practitioner - Nurse Practitioner 5193168839 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Valley Adult Specialists PA CurrentSince Oct 12, 2022 Accepting new patients
Rio Grande Valley Adult & Internal Medicine Specialists PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1010 James St
Weslaco, TX 78596
Phone (956) 968-1621

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, 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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1215695572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JAMES ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966654",
            "telephone_number": "956-968-1621",
            "fax_number": "956-447-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JAMES ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966654",
            "telephone_number": "956-968-1621",
            "fax_number": "956-447-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JUANA",
        "middle_name": "ALEIDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1059072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.rgvadultmedicine.com",
            "affiliation": "Y",
            "endpointDescription": "Rio Grande Valley Adult & Internal Medicine. Specialists",
            "affiliationName": "Rio Grande Valley Adult & Internal Medicine Specialists PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "EHR",
            "address_1": "1010 James St",
            "city": "Weslaco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785966654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUANA",
            "last_name": "GONZALEZ",
            "middle_name": "ALEIDA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.