Individual provider Active NPI

Yaima Martinez Gonzalez, NP

  • Nurse Practitioner
  • Fulshear, TX
National Provider Identifier
1760198964
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1109289 Issued in TX
Practice address
3935 Banks Landing CT
Fulshear, TX 77441-4553
Phone
(281) 661-1079
NPI assigned
Jan 31, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1109289 TX Primary

Addresses

Primary practice location

3935 Banks Landing CT
Fulshear, TX 77441-4553

Mailing address

3935 Banks Landing CT
Fulshear, TX 77441-4553
Phone (281) 661-1079

Other practice location 1

14629 Memorial Dr
Houston, TX 77079-7500
Phone (281) 589-8500

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
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martinez Cubela Wellness Group Current Accepting new patients
On the Go Wellness, LLC CurrentSince Dec 8, 2024 Accepting new patients
Adriana Healthcare PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1760198964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 BANKS LANDING CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774414553",
            "telephone_number": "281-661-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 BANKS LANDING CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774414553",
            "telephone_number": "281-661-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14629 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770797500",
            "country_code": "US",
            "telephone_number": "281-589-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ GONZALEZ",
        "first_name": "YAIMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1109289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.