Individual provider Active NPI

Roberta Ann Gonzalez, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1669819108
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
250375 Issued in TX
Practice address
10555 Vista del Sol Dr
Suite 200
El Paso, TX 79925-7942
Phone
(915) 594-1033
Fax
(915) 594-1263
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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 250375 TX Primary

Addresses

Primary practice location

10555 Vista del Sol Dr
Suite 200
El Paso, TX 79925-7942

Mailing address

10555 Vista del Sol Dr
Suite 200
El Paso, TX 79925-7942
Phone (915) 594-1033

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
250375TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Night El Paso LLC CurrentSince Feb 15, 2025 Accepting new patients
Physicians and Allied Health Professionals Group, PA PastSince Jun 15, 2013 Accepting new patients

Locations

9398 Viscount Blvd
Ste C
El Paso, TX 79925
Phone (915) 219-9733

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1669819108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 VISTA DEL SOL DR",
            "address_2": "SUITE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257942",
            "telephone_number": "915-594-1033",
            "fax_number": "915-594-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 VISTA DEL SOL DR",
            "address_2": "SUITE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257942",
            "telephone_number": "915-594-1033",
            "fax_number": "915-594-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROBERTA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "250375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.