Individual provider Active NPI

Nathaniel Morell Gonzalez, FNP-C

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1083147078
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9459130 Issued in FL
Practice address
302 W Fletcher Ave
Tampa, FL 33612
Phone
(813) 866-0930
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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 ARNP9459130 FL Primary

Addresses

Primary practice location

302 W Fletcher Ave
Tampa, FL 33612

Mailing address

5546 Harborside Dr
Tampa, FL 33615-3677
Phone (787) 361-8318

Other practice location 1

Puerto Rico Army National Guard Medical Command HQ
Campamento Santiago Edificio 587
Salinas, PR 00751-0454
Phone (787) 824-7454

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9459130FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anointed Health, LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nathaniel.morellgonzalez@1019674011500548.direct.elationemr.com

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1083147078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 HARBORSIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153677",
            "telephone_number": "787-361-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-866-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Puerto Rico Army National Guard Medical Command HQ",
            "address_2": "Campamento Santiago Edificio 587",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "PR",
            "postal_code": "007510454",
            "country_code": "US",
            "telephone_number": "787-824-7454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORELL GONZALEZ",
        "first_name": "NATHANIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9459130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.