Individual provider Active NPI

Yessica Martinez Gonzalez, RN

  • Pediatric Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1619766854
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
984166 Issued in TX
Practice address
2005 Topper St
Fort Worth, TX 76134-1019
Phone
(682) 241-9065
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 984166 TX Primary

Addresses

Primary practice location

2005 Topper St
Fort Worth, TX 76134-1019

Mailing address

2005 Topper St
Fort Worth, TX 76134-1019
Phone (682) 241-9065

Other names 1

  • Yessica Ponce Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
984166TXMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1619766854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 TOPPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761341019",
            "telephone_number": "682-241-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TOPPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761341019",
            "telephone_number": "682-241-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ GONZALEZ",
        "first_name": "YESSICA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "984166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESSICA",
            "last_name": "PONCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.