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DEREKA PRINCIPE GOTANGGOGAN MSN, APRN, FNP-C
NPI 1558220970
Nurse Practitioner - Family in Dallas, TX

Active since January 21, 2026
12477 MERIT DR, DALLAS, TX 75251(972) 239-5300 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dereka Principe Gotanggogan Msn, Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREKA PRINCIPE GOTANGGOGAN MSN, APRN, FNP-C (NPI 1558220970) is an individual family provider in Dallas, Texas, licensed in Texas (1223466) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1558220970
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEREKA PRINCIPE GOTANGGOGANCredential: MSN, APRN, FNP-C
Location Address12477 MERIT DRDallas, TX 75251-2344
Mailing Address940 W Fm 544, Box Number 931Wylie, TX 75098-4905
Phone(972) 239-5300
Sole ProprietorYes
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1558220970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1223466
12477 MERIT DR, Dallas, TX 75251
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAITH PRESBYTERIAN PROVIDERS INC
Hospice Care, Community Based
12477 MERIT DR
DALLAS, TX 75251
Dallas County (972) 239-5300
FOREFRONT LIVING HOSPICE
Hospice, Inpatient
12477 MERIT DR
DALLAS, TX 75251
Dallas County (972) 239-5300
SHELBY MARIE LONDON FNP
Registered Nurse
12477 MERIT DR
DALLAS, TX 75251
Dallas County (972) 239-5300
ALAY PATEL FNP-C
Nurse Practitioner (Family)
12477 MERIT DR
DALLAS, TX 75251
Dallas County (972) 239-5300
LAVON BETH HASAN APRN, FNP-C
Nurse Practitioner (Family)
12477 MERIT DR
DALLAS, TX 75251
Dallas County (972) 239-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dereka Gotanggogan's NPI number?

The NPI number for Dereka Gotanggogan is 1558220970. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Dereka Gotanggogan located?

Dereka Gotanggogan practices at 12477 Merit Dr, Dallas, TX 75251. The listed phone number is (972) 239-5300.

What is Dereka Gotanggogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Dereka Gotanggogan was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.