Individual provider Active NPI

Delta Gonzales

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1992287494
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138217 Issued in TX
Practice address
5301A Davis LN Ste 210
Austin, TX 78749-3961
Phone
(512) 212-9248
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 AP138217 TX Primary

Addresses

Primary practice location

5301A Davis LN Ste 210
Austin, TX 78749-3961

Mailing address

5301A Davis LN Ste 210
Austin, TX 78749-3961
Phone (512) 614-1025

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
I20190705000908 TX Practitioner - Nurse Practitioner 0941535496 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael M Di Iorio, MD PLLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

5301 Davis Ln
#210
Austin, TX 78749
Phone (512) 693-8344

5301 Davis Ln
Ste 210
Austin, TX 78749
Phone (512) 212-9248

5301 Davis Ln
Bldg A210
Austin, TX 78749

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1992287494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301A DAVIS LN STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787493961",
            "telephone_number": "512-614-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301A DAVIS LN STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787493961",
            "telephone_number": "512-212-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DELTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.