Lorraine Lynn Gonzalez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03401 Issued in TX

Practice address

14100 Ranch Road 12
Suite 900
Wimberley, TX 78676-5354

Phone

(512) 847-0300

Fax

(512) 847-0200

NPI assigned

Apr 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: lorraine.gonzalez.1@12704.direct.athenahealth.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.

• Crescent View Medical Clinics PA

  • Family Medicine Physician
  • Victoria, TX
  • NPI 1255627121
  Medicare reassignment
• Sinus & Allergy Specialists of Texas

  dba Aspire Allergy & Sinus

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1639510803
  Medicare reassignment

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1487031225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 ISAAC PRYOR DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491751",
            "telephone_number": "512-215-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12",
            "address_2": "SUITE 900",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765354",
            "telephone_number": "512-847-0300",
            "fax_number": "512-847-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LORRAINE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melodye Ann Gardner, PA-C
• Ellen Gerland, RPH
• Glenda Nuckols, PC (Wimberley Dental Center)
• Go Psychotherapy & Counseling PLLC
• Alaria T Godwin, LMT, CLT
• Lindsey Goulden, MA, LPC
• H-E-B, LP (HEB Pharmacy #708)
• Sharyn Kay Harris, P.A.
• Kathryn Ruth Hayes, M.A., CCC-SLP
• Amy M Hernandez, MD

• Physician Assistant in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.