MARTIN D GONZALEZ (NPI# 1669775102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669775102 |
| Entity Type | Individual |
| Full Name | MARTIN D GONZALEZ |
| Credential | FNP |
| Practice Address |
1712 N Access Rd Clyde TX 79510 |
| Mailing Address |
Po Box 2435 Albany TX 76430-8020 |
| Practice Telephone | 3258934010 |
| Practice Fax Number | 3258934035 |
| Mailing Telephone | 3258934010 |
| Mailing Fax Number | 3258934035 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2013-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 714984 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383499 | Martin Gonzalez Jr. | Occupational Therapy Assistant | 15291 Nw 60th Ave Ste 101, Miami Lakes, FL 33014-2459 | 2020-07-08 |
| 1285271510 | Martin Josue Gonzalez | Physical Therapist | 75 W Wesmark Blvd, Sumter, SC 29150-1955 | 2019-12-05 |
| 1952942765 | Martin Dario Gonzalez | Counselor | 1200 N Main St Ste 300, Santa Ana, CA 92701-3625 | 2019-10-02 |
| 1881241693 | Martin A Gonzalez | Marriage & Family Therapist | 1027 N Van Ness Ave, Fresno, CA 93728-3429 | 2019-08-26 |
| 1750600987 | Martin J Gonzalez | Physical Medicine & Rehabilitation | 2525 S Michigan Ave, B-522, Chicago, IL 60616-2333 | 2010-05-27 |
| 1356660724 | Martin Gonzalez | Dentist | 2401 S Stemmons Fwy, #1258, Lewisville, TX 75067-8775 | 2010-05-25 |
| Street Address |
1712 N ACCESS RD |
| City | CLYDE |
| State | TX |
| Zip Code | 79510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306806039 | Albert Monroe Kincheloe | Family Medicine | 1712 N Access Rd, Clyde, TX 79510-3352 | 2006-03-25 |
| 1417564618 | Kelli Lanette Bass | Dentist | 1712 N Access Rd, Clyde, TX 79510-3352 | 2020-09-30 |
| 1710474242 | Shayla R Fine | Nurse Practitioner | 1712 N Access Rd, Clyde, TX 79510-3352 | 2018-04-19 |
| 1073022158 | Robin Shanta Williams-bailey | Nurse Practitioner | 1712 N Access Rd, Clyde, TX 79510-3352 | 2017-09-21 |
| 1356890495 | Rosa L Best | Nurse Practitioner | 1712 N Access Rd, Clyde, TX 79510-3352 | 2016-09-30 |
| 1609072750 | Randall Carlton | Dentist | 1712 N Access Rd, Clyde, TX 79510-3352 | 2007-06-25 |
| 1982642708 | Katherine Jean Robinson | Physician Assistant | 1712 N Access Rd, Clyde, TX 79510 | 2006-06-03 |
| 1023056272 | Billy W. Carpenter | Family Medicine | 1712 N Access Rd, Clyde, TX 79510 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093114688 | Rebecca A. Schowengerdt | Physician Assistant | 1712 N Access Road, Clyde, TX 79510 | 2014-08-19 |
| 1134425986 | Kameko Hazley Mcguire | Nurse Practitioner | 1712 N. Access Rd, Clyde, TX 79510 | 2011-01-26 |
| 1861680886 | Clyde Cons Isd | Local Education Agency (LEA) | 526 Shalimar, Clyde, TX 79510 | 2007-10-04 |
| 1003020058 | William Michael Walton | Dentist | 113 Hunt Street, Clyde, TX 79510 | 2007-05-09 |
| 1558411728 | Citizens Emergency Medical Service | Emergency Medical Technician, Paramedic | 815 South 2nd, Clyde, TX 79510 | 2007-01-11 |
| 1578552857 | Trudy Lennette Smith | Physician Assistant | 1712 North Access Road, Clyde, TX 79510 | 2005-10-19 |
| 1215205265 | Shackelford County Community Resource Center | Clinic/Center | 1712 North Access Road, Clyde, TX 79510 | 2011-12-06 |
| 1407960180 | Citizens Emergency Medical Service Inc. | Ambulance | 815 S. Second, Clyde, TX 79510-0000 | 2006-08-18 |
| 1962524298 | Cindy Kay Adams | Physical Therapist | 7451 Cr 254, 7451 Cr 254, Clyde, TX 79510-0246 | 2007-04-06 |
| 1730570698 | Pamela Williams | Counselor | 1712 North Access Road, Clyde, TX 79510-0679 | 2015-02-13 |
| Find all providers in zip 79510 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558774604 | Dawn R Bova | Nurse Practitioner | 402 Mcpherson Hwy, Clyde, OH 43410-1133 | 2014-06-06 |
| 1134425986 | Kameko Hazley Mcguire | Nurse Practitioner | 1712 N. Access Rd, Clyde, TX 79510 | 2011-01-26 |
| 1932201316 | Paul K Albert | Nurse Practitioner | 32 Physicians Dr, Clyde, NC 28721-8486 | 2006-09-05 |
| 1164466447 | Western Carolina Cardiology | Nurse Practitioner | 32 Physician Dr, Clyde, NC 28721-8486 | 2006-06-16 |
| 1063492007 | Ann Marie Mcdonald | Nurse Practitioner | 360 Hospital Dr Ste 120, Clyde, NC 28721 | 2006-01-17 |
| 1154949279 | Crystal Nicole Morrow | Nurse Practitioner | 581 Leroy George Dr, Clyde, NC 28721-8084 | 2020-07-07 |
| 1972079127 | Mh Transylvania Regional Hospital, Lllp | Nurse Practitioner | 360 Hospital Dr, Clyde, NC 28721-0107 | 2018-10-15 |
| 1710474242 | Shayla R Fine | Nurse Practitioner | 1712 N Access Rd, Clyde, TX 79510-3352 | 2018-04-19 |
| 1407382179 | Valerie J Castillo | Nurse Practitioner | 455 W Mcpherson Hwy, #b, Clyde, OH 43410-1132 | 2017-05-02 |
| 1578772919 | Eva Janice Plott | Nurse Practitioner | 360 Hospital Dr Ste 120, Clyde, NC 28721-0107 | 2007-05-22 |
| Find all providers in CLYDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.