Gina Godina, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1058460 Issued in TX

Practice address

2525 N Veterans Blvd BLDG 2
Eagle Pass, TX 78852-3302

Phone

(830) 773-1635

Fax

(877) 432-6151

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gina.godina.p1@direct.umchealth.nextgenshare.com

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.

• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1710980669

  Family

  Medicare reassignment NPD
• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Eagle Pass, TX
  • NPI 1295525012

  Family

  NPD
• United Medical Centers

  • Federally Qualified Health Center (FQHC)
  • Brackettville, TX
  • NPI 1336284785
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1417615147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N VETERANS BLVD BLDG 2",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523302",
            "telephone_number": "830-773-1635",
            "fax_number": "877-432-6151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 N Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788523302",
            "country_code": "US",
            "telephone_number": "830-773-5358",
            "fax_number": "830-773-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODINA",
        "first_name": "GINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "889009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1058460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F10210555",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny M Garza, RN-FNP
• Valeria Fernanda Garza
• Gerardo Cervantes
• Gga Healthcare, Inc
• Marisa Giron, RN, RRT
• Frank H Gonzales III, MD
• Edgar A Gonzalez
• Elidia Gonzalez
• Fernanda Gonzalez, DMD
• Guadalupe Gonzalez

• Family Nurse Practitioner in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.