Active NPI
Ernestine Grace Gonzales, R.D.,L.D.,CDE
- Registered Dietitian
- San Antonio, TX
National Provider Identifier
1235318361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT00925
- Practice address
- 6800 Park Ten Blvd Ste 150-S
San Antonio, TX 78213-4211 - Phone
- (210) 733-0200
- Fax
- (210) 733-6202
- NPI assigned
- Oct 25, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT00925 | TX | Primary |
Addresses
Primary practice location
6800 Park Ten Blvd Ste 150-S
San Antonio, TX 78213-4211
Mailing address
6800 Park Ten Blvd Ste 150-S
San Antonio, TX 78213-4211
Phone (210) 733-0200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT00925 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamo Diabetes Team, LLP | Dietitian, Registered | 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": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1235318361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD STE 150-S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134211",
"telephone_number": "210-733-0200",
"fax_number": "210-733-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD STE 150-S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134211",
"telephone_number": "210-733-0200",
"fax_number": "210-733-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ERNESTINE",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "R.D.,L.D.,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT00925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.