Doris Gonzalez, AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1016146 Issued in TX

Practice address

897 N Macarthur Blvd Ste 110
Coppell, TX 75019-2707

Phone

(972) 861-1143

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nortex Medical GroupGroup PAC ID 3779912225, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nortex Medical Group

  • General Practice Physician
  • Allen, TX
  • NPI 1619523214
  Medicare reassignment Care Compare group NPD
• Cornerstone Medical Rockwall PLLC

  dba Anodyne of Rockwall

  • General Practice Physician
  • Rockwall, TX
  • NPI 1144986936
  Medicare reassignment NPD
• Nortex Medical Group

  • General Practice Physician
  • Allen, TX
  • NPI 1689288342
  NPD
• Frisco Total Wellness Clinic, PLLC

  • Adult Medicine Physician
  • Frisco, TX
  • NPI 1073018131
  NPD (past)
• Laali Management Group

  dba Epic Chiropractic

  • Chiropractor
  • Plano, TX
  • NPI 1750610283
  NPD (past)
• Marchetti Physical Medicine P.a.

  dba Modoma

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1851839815
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1912504648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 PRESTON RD STE 100A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348987",
            "telephone_number": "972-345-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 N MACARTHUR BLVD STE 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192707",
            "telephone_number": "972-861-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4944 Preston Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750348987",
            "country_code": "US",
            "telephone_number": "469-304-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DORIS",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1016146",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1016146",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1016146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Kalyani Gogulamudi
• Golden Oak Surgical Center LLC
• Laura Golightly, D.O.
• Antonio Gomez, PHARMD
• Solmari Gonzalez Rivera, DC
• Lizette Gonzalez
• Aneeta Goomar, M.D.
• Bonnie S Gore, PTA
• Sharnise Gossett
• Shaun Gould, DO

• Adult Health Nurse Practitioner in Coppell, TX
• Providers in Coppell, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.

Verify at the official NPI Registry.