Individual provider Active NPI

Angel Roberto Gonzalez, FNP

  • Nurse Practitioner
  • Kyle, TX
National Provider Identifier
1356736052
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP127937 Issued in TX
Practice address
844 Kohlers Xing Ste 230
Kyle, TX 78640-2475
Phone
(737) 404-3926
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Nurse Practitioner 363L00000X AP127937 TX Primary

Addresses

Primary practice location

844 Kohlers Xing Ste 230
Kyle, TX 78640-2475

Mailing address

7704 Hillock Ter
Austin, TX 78744-1519
Phone (915) 240-5308

Other names 1

  • Mr. Angel Roberto Pina Former name

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
I20150930000538 TX Practitioner - Nurse Practitioner 0042528754 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127937TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 7, 2020 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Jun 12, 2017 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Jun 12, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 7, 2020 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Feb 23, 2018 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

844 Kohlers Xing
Ste 230
Kyle, TX 78640
Phone (737) 404-3926

1650 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (737) 443-5230

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

5282 Medical Dr
Ste 206
San Antonio, TX 78229
Phone (210) 366-4358

Organizations & group practices 6

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1356736052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 HILLOCK TER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441519",
            "telephone_number": "915-240-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 KOHLERS XING STE 230",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402475",
            "telephone_number": "737-404-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANGEL",
        "middle_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP127937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "PINA",
            "middle_name": "ROBERTO",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.