Individual provider Active NPI

Veronica Gorrell, NP-C

  • Family Nurse Practitioner
  • Fort Hood, TX
National Provider Identifier
1528504081
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
UP004172B Issued in PA
Practice address
36065 Santa Fe Avenue
Carl R Darnall Medical Center
Fort Hood, TX 76544-5060
Phone
(254) 553-6227
Fax
(254) 286-7188
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X UP004172B PA Primary

Addresses

Primary practice location

36065 Santa Fe Avenue
Carl R Darnall Medical Center
Fort Hood, TX 76544-5060

Mailing address

3300 Vineyard TRL
Harker Heights, TX 76548-8847
Phone (254) 247-7831

Other names 1

  • Veronica Sponaugle Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240918004652 TX Practitioner - Nurse Practitioner 5193266096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
UP004172BPAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1528504081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 VINEYARD TRL",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488847",
            "telephone_number": "254-247-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVENUE",
            "address_2": "CARL R DARNALL MEDICAL CENTER",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-553-6227",
            "fax_number": "254-286-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP004172B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "SPONAUGLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.