Individual provider Active NPI

Yarislenia Gonzalez Gomez

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1346894177
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1056982 Issued in TX
Practice address
19530 Maywood Falls Cir
Houston, TX 77084-2269
Phone
(832) 289-5142
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 970511 TX
Family Nurse Practitioner 363LF0000X 1056982 TX Primary

Addresses

Primary practice location

19530 Maywood Falls Cir
Houston, TX 77084-2269

Mailing address

19530 Maywood Falls Cir
Houston, TX 77084-2269
Phone (832) 289-5142

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
I20251208000796 TX Practitioner - Nurse Practitioner 6103319132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19530 Maywood Falls Cir
Houston, TX 77084-2269

19918 Park Row Dr
Katy, TX 77449-4915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
970511TXMDRegistered Nurse
1056982TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Familiar 2 LLC Family CurrentSince Nov 1, 2025 Accepting new patients
Gonnar Services LLC CurrentSince Nov 1, 2025 Accepting new patients
Clinica Familiar Y Prenatal PastSince Nov 1, 2025 Accepting new patients

Locations

1418 Gessner Rd
Ste C
Houston, TX 77080
Phone (281) 400-1655

19918 Park Row Dr
Katy, TX 77449
Phone (281) 944-9609

Interoperability endpoints

  • Direct secure messaging: ygonzalez79@chf-tx.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1346894177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19530 MAYWOOD FALLS CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842269",
            "telephone_number": "832-289-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19530 MAYWOOD FALLS CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770842269",
            "telephone_number": "832-289-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GOMEZ",
        "first_name": "YARISLENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "970511",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1056982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.