Individual provider Active NPI

Patricia Gonzalez, NP-C

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1346713583
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145243 Issued in TX
Practice address
10242 Greenhouse Rd
Cypress, TX 77433-1833
Phone
(832) 653-2946
Fax
(832) 653-6656
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145243 TX Primary

Addresses

Primary practice location

10242 Greenhouse Rd
Cypress, TX 77433-1833

Mailing address

10242 Greenhouse Rd
Cypress, TX 77433-1833
Phone (832) 653-2946

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL patinp@bladeswellness.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
I20210323001342 TX Practitioner - Nurse Practitioner 2264774561 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145243TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Clark Medical Group LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100

2717 Commercial Center Blvd
Ste E170
Katy, TX 77494

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1346713583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10242 GREENHOUSE RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331833",
            "telephone_number": "832-653-2946",
            "fax_number": "832-653-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10242 GREENHOUSE RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331833",
            "telephone_number": "832-653-2946",
            "fax_number": "832-653-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "PATRICIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patinp@bladeswellness.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10242 Greenhouse Rd",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774331833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.