Individual provider Active NPI

Lovietrice Mims-Gonzalez

  • Registered Nurse
  • West Palm Beach, FL
National Provider Identifier
1073070058
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9368815 Issued in FL
Practice address
1330 Wynnewood Dr
West Palm Beach, FL 33417-5642
Phone
(407) 572-3532
NPI assigned
Feb 26, 2019
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
RN9368815FLMDRegistered 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.

Verify at the official NPI Registry.