Active NPI
Jon Richard Gonzalez, RD, LD
- Registered Dietitian
- La Feria, TX
National Provider Identifier
1376898767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT06050
- Practice address
- 26455 Palomino Ave
La Feria, TX 78559-4398 - Phone
- (956) 244-5670
- NPI assigned
- Jul 21, 2012
- Last updated
- Jul 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT06050 | TX | Primary |
Addresses
Primary practice location
26455 Palomino Ave
La Feria, TX 78559-4398
Mailing address
26455 Palomino Ave
La Feria, TX 78559-4398
Phone (956) 244-5670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT06050 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342828800000",
"number": "1376898767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26455 PALOMINO AVE",
"city": "LA FERIA",
"state": "TX",
"postal_code": "785594398",
"telephone_number": "956-244-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26455 PALOMINO AVE",
"city": "LA FERIA",
"state": "TX",
"postal_code": "785594398",
"telephone_number": "956-244-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JON",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-21",
"last_updated": "2012-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT06050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Feria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.