Individual provider Active NPI

Elizabeth Gonzalez, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1235821208
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1115290 Issued in TX
Practice address
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone
(817) 796-7370
NPI assigned
May 25, 2023
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1115290 TX Primary
Oncology Registered Nurse 163WX0200X 959274 TX

Addresses

Primary practice location

4115 E Lancaster Ave
Fort Worth, TX 76103-3614

Mailing address

2708 NW 30TH St
Fort Worth, TX 76106-5235
Phone (817) 965-7632

Other practice location 1

2708 NW 30th St
Fort Worth, TX 76106-5235
Phone (817) 965-7632

Other practice location 2

800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address egonzalez@txcc.OncoEMRDirect.com Direct

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
I20230907001367 TX Practitioner - Nurse Practitioner 1254795438 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
959274TXMDOncology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Consultants, PA CurrentSince Jun 19, 2024 Accepting new patients
Oak Street Health of Texas, PLLC Family CurrentSince Sep 11, 2023 Accepting new patients
Oncology-Hematology Consultants PA CurrentSince Jun 19, 2024 Accepting new patients

Locations

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

7415 Las Colinas Blvd
Irving, TX 75063
Phone (248) 760-3339

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

Organizations & group practices 3

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1235821208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 NW 30TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761065235",
            "telephone_number": "817-965-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033614",
            "telephone_number": "817-796-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 NW 30th St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761065235",
            "country_code": "US",
            "telephone_number": "817-965-7632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044611",
            "country_code": "US",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1115290",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "TX",
            "license": "959274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egonzalez@txcc.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 W Magnolia Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.