Active NPI
Irasema Gonzalez, LVN
- Licensed Vocational Nurse
- Edinburg, TX
National Provider Identifier
1487149233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 164210
- Practice address
- 2609 Nessuh Ave
Edinburg, TX 78541-4814 - Phone
- (956) 630-1116
- Fax
- (956) 630-1250
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 164210 | TX | Primary |
Addresses
Primary practice location
2609 Nessuh Ave
Edinburg, TX 78541-4814
Mailing address
4002 San Esteban CT
Mission, TX 78572-7554
Phone (956) 432-8611
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 |
|---|---|---|---|
| 164210 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1487149233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4002 SAN ESTEBAN CT",
"city": "MISSION",
"state": "TX",
"postal_code": "785727554",
"telephone_number": "956-432-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 NESSUH AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785414814",
"telephone_number": "956-630-1116",
"fax_number": "956-630-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "IRASEMA",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "164210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.