Individual provider Active NPI

Diana Iveth Godinez, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1316295249
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136934 Issued in TX
Practice address
8585 N Stemmons Fwy Ste S-105
Dallas, TX 75247-3836
Phone
(817) 705-6517
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12086 TX
Family Nurse Practitioner 363LF0000X AP136934 TX Primary

Addresses

Primary practice location

8585 N Stemmons Fwy Ste S-105
Dallas, TX 75247-3836

Mailing address

8585 N Stemmons Fwy Ste S-105
Dallas, TX 75247-3836

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
I20180416000377 TX Practitioner - Nurse Practitioner 6608139175

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1401 W Jefferson Blvd
Dallas, TX 75208-5326

19500 Ih 10
San Antonio, TX 78257-9509

325 Valentino Way
Grand Prairie, TX 75052-0026

5608 Malvey Ave
Suite 200
Fort Worth, TX 76107-5107

5805 Willow Branch Dr
Arlington, TX 76017-4018

7000 N Mopac Expwy
Suite 200
Austin, TX 78731-3027

8637 Fredericksburg Rd
Suite 360
San Antonio, TX 78240-1219

P O Box
Suite 6539
Fort Worth, TX 76115-0539

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12086TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Medplus Physician Group Inc. CurrentSince May 3, 2023 Accepting new patients
Vanguard Pain Management, PLLC PastSince Nov 9, 2025 Accepting new patients

Locations

8585 N Stemmons Fwy
Ste 105S
Dallas, TX 75247
Phone (469) 502-4772

8585 N Stemmons Fwy
Ste S105
Dallas, TX 75247
Phone (214) 206-8697

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1316295249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 N STEMMONS FWY STE S-105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 N STEMMONS FWY STE S-105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473836",
            "telephone_number": "817-705-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "DIANA",
        "middle_name": "IVETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.