LESLIE GONZALES (NPI# 1063767572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063767572 |
| Entity Type | Individual |
| Full Name | LESLIE GONZALES |
| Credential | FNP-BC |
| Practice Address |
415 Embassy Oaks Ste 200 San Antonio TX 78216-2040 |
| Practice Telephone | 2104909087 |
| Practice Fax Number | 2104909111 |
| Mailing Telephone | 2104909087 |
| Mailing Fax Number | 2104909111 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
750702 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELLMED MEDICAL GROUP PA | TXB159076 | 01 | |
| TX | WELLMED MEDICAID | 314790201 | 01 |
| Street Address |
415 EMBASSY OAKS STE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520894 | Dennis Haaga Murphree | Internal Medicine | 415 Embassy Oaks, Suite 200, San Antonio, TX 78216 | 2005-07-07 |
| 1619265972 | Kelly Patricia Rabon | Physical Therapist | 415 Embassy Oaks, Suite 202, San Antonio, TX 78216-2042 | 2011-07-20 |
| 1669778304 | Wellmed Medical Group, Pa | Dermatology | 415 Embassy Oaks, #200, San Antonio, TX 78216-2040 | 2011-01-27 |
| 1679708382 | Eye Management, LLC | Durable Medical Equipment & Medical Supplies | 415 Embassy Oaks, Suite 201, San Antonio, TX 78216-2040 | 2009-05-26 |
| 1073767794 | Q Pharmacy Inc | Pharmacy | 415 Embassy Oaks, San Antonio, TX 78216-2040 | 2008-11-07 |
| 1245495530 | Joshua B Beck | Family Medicine | 415 Embassy Oaks, Ste 200, San Antonio, TX 78216-2040 | 2008-07-25 |
| 1881862886 | Morilyn Amos | Audiologist-Hearing Aid Fitter | 415 Embassy Oaks, San Antonio, TX 78216 | 2008-02-13 |
| 1598978314 | Phyllis Kay Monroe | Occupational Therapist | 415 Embassy Oaks, Suite 202, San Antonio, TX 78216-2040 | 2007-05-08 |
| 1548372485 | Laura Kathleen Huete | Family Medicine | 415 Embassy Oaks, Ste 200, San Antonio, TX 78216-2040 | 2006-08-31 |
| 1922022953 | Richard Paris Sharp | Optometrist | 415 Embassy Oaks, Suite 201, San Antonio, TX 78216-2040 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1033719521 | Macy Atkins | Nurse Practitioner | 6676 Utsa Blvd, San Antonio, TX 78249-5100 | 2020-10-26 |
| 1801494554 | Yordanis Rafael Fonseca Vega | Nurse Practitioner | 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 | 2020-10-14 |
| 1255939237 | Ashley Elizabeth Swartz | Nurse Practitioner | 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 | 2020-10-13 |
| 1871190173 | Cynthia B Elkins | Nurse Practitioner | 24806 Terlingua Bnd, San Antonio, TX 78261-2726 | 2020-10-08 |
| 1588270623 | Amanda Razo | Nurse Practitioner | 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 | 2020-09-23 |
| 1255946935 | Norberto Hernandez Iv | Nurse Practitioner | 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 | 2020-09-10 |
| 1033723655 | Hira Mughal | Nurse Practitioner | 9850 Twinbear Crk, San Antonio, TX 78245-9596 | 2020-09-01 |
| 1366055675 | Maria Christina Cruz Tijerina | Nurse Practitioner | 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 | 2020-08-26 |
| 1225649593 | Gina M Duron | Nurse Practitioner | 10730 Green Trail Dr, San Antonio, TX 78223-4224 | 2020-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on LESLIE GONZALES.
| 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.