Individual provider Active NPI

Roberta Joann Gonzalez, CPNP

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1801101936
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
661214 Issued in TX
Practice address
7108 Bandera Rd
San Antonio, TX 78238-1203
Phone
(210) 680-2400
Fax
(830) 310-8156
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 661214 TX Primary

Addresses

Primary practice location

7108 Bandera Rd
San Antonio, TX 78238-1203

Mailing address

7108 Bandera Rd
San Antonio, TX 78238-1203
Phone (210) 680-2400

Other practice location 1

333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone (210) 704-2190

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
I20110330000856 TX Practitioner - Nurse Practitioner 3779766654 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopscotch Health Childrens Primary Care PLLC Pediatrics CurrentSince Jan 1, 2024 Accepting new patients
Hopscotch Health Children's Urgent Care, PLLC CurrentSince May 15, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Mar 1, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Mar 1, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Apr 7, 2014 Accepting new patients
River City Pediatric Emergency Physicians, PLLC Past Accepting new patients

Locations

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

813 Bandera Rd
Ste B
San Antonio, TX 78228
Phone (210) 432-2905

315 N San Saba
Ste 1135
San Antonio, TX 78207
Phone (210) 704-3030

701 S Zarzamora St
San Antonio, TX 78207
Phone (210) 358-7000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7108 Bandera Rd
San Antonio, TX 78238
Phone (210) 432-2905

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

315 N San Saba
Ste 1210
San Antonio, TX 78207
Phone (210) 354-0877

Interoperability endpoints

  • Direct secure messaging: rgonzalez573470@christushealth.direct-ci.net

Organizations & group practices 6

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1801101936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381203",
            "telephone_number": "210-680-2400",
            "fax_number": "830-310-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381203",
            "telephone_number": "210-680-2400",
            "fax_number": "830-310-8156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Santa Rosa St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073108",
            "country_code": "US",
            "telephone_number": "210-704-2190",
            "fax_number": "210-704-4527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ROBERTA",
        "middle_name": "JOANN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "661214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.