Active NPI
Miriam Gonzalez, NP
- Nurse Practitioner
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1023448
- Practice address
- 200 N Lakeline Blvd Ste a
Cedar Park, TX 78613-2089 - Phone
- (512) 617-3000
- NPI assigned
- Feb 19, 2025
- Last updated
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1023448 | TX | Primary |
Addresses
Primary practice location
200 N Lakeline Blvd Ste a
Cedar Park, TX 78613-2089
Mailing address
8800 Willowick Dr
Austin, TX 78759-7537
Other practice location 1
8825 Bee Caves Rd
Austin, TX 78746-4720
Phone (512) 328-3376
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13492 Research Blvd
Suite 120
Austin, TX 78750
8825 Bee Caves Rd
Suite 100
Austin, TX 78746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023448 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westlake Dermatology, PA | Current | Accepting new patients | |
| Westlake Dermatology PA | Past | Accepting new patients |
Locations
12201 Renfert Way
Ste 305
Austin, TX 78758
Phone (513) 279-3376
200 N Lakeline Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 617-3000
401 S FM 620 Rd
Ste 200
Lakeway, TX 78734
Phone (512) 610-0549
1760 Round Rock Ave
Round Rock, TX 78681
Phone (512) 583-3376
Organizations & group practices 2
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.
-
- Dermatology Physician
- Austin, TX
- NPI 1518939347
-
- Dermatology Physician
- Alamo Heights, TX
- NPI 1265086045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1639975915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 WILLOWICK DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787597537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N LAKELINE BLVD STE A",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132089",
"telephone_number": "512-617-3000"
}
],
"practiceLocations": [
{
"address_1": "8825 Bee Caves Rd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787464720",
"country_code": "US",
"telephone_number": "512-328-3376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MIRIAM",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1023448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.