Individual provider Active NPI

Olga Melissa Gonzalez

  • Family Nurse Practitioner
  • Weslaco, TX
National Provider Identifier
1962963165
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140993 Issued in TX
Practice address
1206 E 6TH St
Weslaco, TX 78596-6420
Phone
(956) 447-8377
Fax
(956) 973-8034
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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 AP140993 TX Primary

Addresses

Primary practice location

1206 E 6TH St
Weslaco, TX 78596-6420

Mailing address

1206 E 6TH St
Weslaco, TX 78596-6420
Phone (956) 447-8377

Other practice location 1

1018 Beech Ave Ste 100
McAllen, TX 78501-4547
Phone (956) 800-5171

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
Ivana Enterprises, Inc PastSince Oct 13, 2016 Accepting new patients
CRS Medical, PLLC Family PastSince Nov 21, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13875/brand/1/csg/1/fhir/r4

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1962963165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966420",
            "telephone_number": "956-447-8377",
            "fax_number": "956-973-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966420",
            "telephone_number": "956-447-8377",
            "fax_number": "956-973-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 Beech Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785014547",
            "country_code": "US",
            "telephone_number": "956-800-5171",
            "fax_number": "956-800-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "OLGA",
        "middle_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.