Melissa M Gonzalez, RN IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

821646 Issued in TX

Practice address

3100 Richmond Ave Ste 401
Houston, TX 77098-3015

Phone

(281) 305-0411

Fax

(281) 572-0627

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Bayou City Breastfeeding, LLC

  • Lactation Consultant (Registered Nurse)
  • Houston, TX
  • NPI 1376056085
  NPD
• Cardiothoracic Surgery, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chesterfield, MO
  • NPI 1104895812
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1356014807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 WOODLAND HILLS DR # 205",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391403",
            "telephone_number": "281-626-5271",
            "fax_number": "281-572-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RICHMOND AVE STE 401",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983015",
            "telephone_number": "281-305-0411",
            "fax_number": "281-572-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "RN IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "821646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@bcb.sprucecare.com",
            "affiliation": "N",
            "address_1": "3100 Richmond Ave Ste 401",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770983015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marisa Lynn Gonzalez, MS, LPC-ASSOCIATE
• Marisol Gonzalez
• Marlen Gonzalez, OTR/L
• Marta Melissa Gonzalez, CPNP-AC
• Mary Beth Gonzalez
• Melissa M. Gonzalez, PSY.D.
• Michelle Gonzalez
• Michelle S Gonzalez, NP
• Mirtha A Gonzalez, M.D.
• Mitzy Gonzalez

• Lactation Consultant (Registered Nurse) in Houston, TX
• Providers in Houston, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.