Individual provider Active NPI

Amanda Lee Gonzalez, APRN

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1700607249
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1178234 Issued in TX
Practice address
2438 Monarch Dr
Laredo, TX 78045-6598
Phone
(956) 523-0966
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 1178234 TX Primary

Addresses

Primary practice location

2438 Monarch Dr
Laredo, TX 78045-6598

Mailing address

5401 Simbrah Dr
Laredo, TX 78046-8929

Other practice location 1

2310 E Saunders St
Laredo, TX 78041-5435
Phone (956) 750-4898

Other practice location 2

2316 S Zapata Hwy Ste 150
Laredo, TX 78046-6596
Phone (956) 230-7822

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331001731 TX Practitioner - Nurse Practitioner 7517480569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doc-Aid Scribe Services, IncGroup PAC ID 3072835651, 7 clinicians

Practice addresses (Care Compare)

2310 E Saunders St
2A Doc Aid
Laredo, TX 78041-5489
Phone (956) 750-4898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1178234TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doc-Aid Scribe Services, Inc CurrentSince Jan 25, 2025 Accepting new patients

Locations

2310 E Saunders St
Ste 2A
Laredo, TX 78041
Phone (956) 750-4898

2316 S Zapata Hwy
Ste 150
Laredo, TX 78046
Phone (956) 230-7822

2310 E Saunders St
#2A
Laredo, TX 78041
Phone (956) 750-4898

2438 Monarch Dr
Ste A-375
Laredo, TX 78045
Phone (281) 712-4722

Organizations & group practices 1

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1700607249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SIMBRAH DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780468929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 MONARCH DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456598",
            "telephone_number": "956-523-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 E Saunders St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780415435",
            "country_code": "US",
            "telephone_number": "956-750-4898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2316 S Zapata Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780466596",
            "country_code": "US",
            "telephone_number": "956-230-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1178234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.