Active NPI
Viviane L Goncalves, APRN
- Adult Health Nurse Practitioner
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9359090
- Practice address
- 13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926 - Phone
- (303) 261-7664
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9359090 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN9359090 | FL | Primary |
Addresses
Primary practice location
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Mailing address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (303) 261-7664
Other practice location 1
300 Conshohocken State Rd Ste 300
Conshohocken, PA 19428-3820
Phone (610) 617-1442
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9359090 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Family | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Pioneer Medical Group, PL | Adult Health | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| The Judge Group | Family | Past | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Family | Past | Accepting new patients |
Locations
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454
13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Family Medicine Physician
- Wauchula, FL
- NPI 1578725941
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
Adult Health
-
- Rural Health Clinic/Center
- Avon Park, FL
- NPI 1881850956
-
- Family Nurse Practitioner
- Conshohocken, PA
- NPI 1841664497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1013386572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "303-261-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "303-261-7664"
}
],
"practiceLocations": [
{
"address_1": "300 Conshohocken State Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Conshohocken",
"state": "PA",
"postal_code": "194283820",
"country_code": "US",
"telephone_number": "610-617-1442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONCALVES",
"first_name": "VIVIANE",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9359090",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9359090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.