Amy Gonzalez, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1035578 Issued in TX

Practice address

10345 Alta Vista Rd
Fort Worth, TX 76244-6501

Phone

(817) 909-8558

NPI assigned

Nov 21, 2015

Last updated

Nov 21, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1448064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448064000000",
    "number": "1548634918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163651",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761613651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 ALTA VISTA RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446501",
            "telephone_number": "817-909-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMY",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-21",
        "last_updated": "2015-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "1035578",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT81618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yara Hamade Gonzales, M.D.,
• Alexandra Janis Gonzalez Parrilla, SLP
• Gerardo Gonzalez-Diaz, NP
• Adolfo Gonzalez, DO
• Alondra Gonzalez, DPT
• Christian M Gonzalez
• Edna Monica Gonzalez, FNP-C
• Elizabeth Gonzalez, MSN, APRN, FNP-C
• Erika Gonzalez
• Frida Gonzalez

• Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.