Individual provider Active NPI

Yanet Bou Gomez, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1003341892
Registry record updated Apr 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9352092 Issued in FL
Practice address
95 SW 30TH Ave Apt 5
Miami, FL 33135-1249
Phone
(305) 300-6883
NPI assigned
Apr 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2017

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 9352092 FL Primary

Addresses

Primary practice location

95 SW 30TH Ave Apt 5
Miami, FL 33135-1249

Mailing address

95 SW 30TH Ave Apt 5
Miami, FL 33135-1249
Phone (305) 300-6883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260508002056 FL Practitioner - Nurse Practitioner 2860960747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hermes Clinical Center LLCGroup PAC ID 2466956123, 3 clinicians

Practice addresses (Care Compare)

330 SW 27TH Ave
Suite 305
Miami, FL 33135-2957
Phone (305) 487-3989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9352092FLMDFamily Nurse Practitioner

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": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493424000000",
    "number": "1003341892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SW 30TH AVE APT 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351249",
            "telephone_number": "305-300-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SW 30TH AVE APT 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351249",
            "telephone_number": "305-300-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU GOMEZ",
        "first_name": "YANET",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2017-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9352092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.