Jessica Ann Gonzalez

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

353388 Issued in TX

Practice address

6102 Quiet Night LN
Converse, TX 78109-3786

Phone

(210) 702-9000

NPI assigned

Apr 27, 2020

Last updated

Apr 27, 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 1

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1629699046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 QUIET NIGHT LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093786",
            "telephone_number": "210-702-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 QUIET NIGHT LN",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093786",
            "telephone_number": "210-702-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "353388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald J Galvin Converse Chiropractic (Converse Chiropractic)
• Gerhart Physiotherapy LLC
• Hanaa Girgis, M.D.
• Chevin Gladden, NCPRSS
• Teresa K Gonzales, RN
• John Patrick Ventura Gonzalez
• Lorena Gonzalez, LPC
• Mario Atilio Gonzalez
• Greg Scott Gorham, PTA
• Brittany M Grant

• Licensed Vocational Nurse in Converse, TX
• Providers in Converse, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.