Stacey Lamour Gonzalez, DNP, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1007828 Issued in TX

Practice address

2610 Lake Austin Blvd
Austin, TX 78703-4429

Phone

(512) 477-1261

NPI assigned

Aug 5, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin Geriatric Specialists PLLCGroup PAC ID 5092770511, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Halcyon Home LLC Home health agency, Austin, TX, CCN 747931
• Querencia at Barton Creek Nursing home, Austin, TX, CCN 676198

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
• Direct secure messaging: stacey.gonzalez.1@25850.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austin Geriatric Specialists, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1376575886
  Medicare reassignment Care Compare group NPD
• Hni Medical Services

  • Hospitalist Physician
  • Austin, TX
  • NPI 1366735169
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Barton Creek Senior Living Center Inc.

  dba Querencia at Barton Creek

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1215071428

  Nursing home

  Care Compare affiliation
• Halcyon Home, LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1003185059
  Care Compare affiliation

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1497365282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 LAKE AUSTIN BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 LAKE AUSTIN BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034429",
            "telephone_number": "512-477-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "STACEY",
        "middle_name": "LAMOUR",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "867007",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1007828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Gonzalez, CPHT
• Ruth Gonzalez, M.O.T. OTR
• Scarlett Gonzalez, PTA
• Silvia Gonzalez, OTL
• Sonia Reyna Gonzalez, FNP-C
• Stephanie Ester Gonzalez, PA-C
• Tiffany Gonzalez, LCSW
• Valeria Gonzalez, LPA
• Valerie Josephine Gonzalez, LPC
• Vanessa Gonzalez, DPT

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, 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 Aug 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.