Active NPI
Lovietrice Mims-Gonzalez
- Registered Nurse
- West Palm Beach, FL
National Provider Identifier
1073070058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9368815
- Practice address
- 1330 Wynnewood Dr
West Palm Beach, FL 33417-5642 - Phone
- (407) 572-3532
- NPI assigned
- Feb 26, 2019
- Last updated
- Feb 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9368815 | FL | Primary |
Addresses
Primary practice location
1330 Wynnewood Dr
West Palm Beach, FL 33417-5642
Mailing address
1330 Wynnewood Dr
West Palm Beach, FL 33417-5642
Other names 1
- Lovietrice Mims-Gonzalez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9368815 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1073070058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 WYNNEWOOD DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334175642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 WYNNEWOOD DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334175642",
"telephone_number": "407-572-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMS-GONZALEZ",
"first_name": "LOVIETRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9368815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOVIETRICE",
"last_name": "MIMS-GONZALEZ",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.