Individual provider Active NPI

Luz Del Carmen Gonzalez

  • Foster Care Agency
  • El Paso, TX
National Provider Identifier
1225549777
Registry record updated Aug 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
LHOC19-00007 Issued in TX
Practice address
11640 Norman Montion Dr
El Paso, TX 79936-0710
Phone
(915) 849-1603
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X LHOC19-00007 TX Primary

Addresses

Primary practice location

11640 Norman Montion Dr
El Paso, TX 79936-0710

Mailing address

11640 Norman Montion Dr
El Paso, TX 79936-0710
Phone (915) 849-1603

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fostercarenissi@outlook.com

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
LHOC19-00007TXMDFoster Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Care Nissi Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1225549777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 NORMAN MONTION DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360710",
            "telephone_number": "915-849-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 NORMAN MONTION DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360710",
            "telephone_number": "915-849-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LUZ",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "TX",
            "license": "LHOC19-00007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fostercarenissi@outlook.com",
            "affiliation": "N",
            "address_1": "11640 Norman Montion Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799360710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.