Individual provider Active NPI

Genesis Marie Rodriguez Contreras, APRN, FNP

  • Family Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1083460141
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032339 Issued in FL
Practice address
39873 Highway 27 Ste 101
Davenport, FL 33837-7802
Phone
(787) 966-3321
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 11032339 FL Primary

Addresses

Primary practice location

39873 Highway 27 Ste 101
Davenport, FL 33837-7802

Mailing address

39873 Highway 27 Ste 101
Davenport, FL 33837-7802
Phone (787) 966-3321

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
I20241028003821 FL Practitioner - Nurse Practitioner 2668905761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive and Liver Center of FL, LLCGroup PAC ID 2365467867, 23 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 101
Orlando, FL 32825-3710
Phone (407) 348-7388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11032339FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive and Liver Center of FL, LLC CurrentSince Sep 30, 2024 Accepting new patients
Gi Urgent Care of Florida LLC CurrentSince Dec 3, 2024 Accepting new patients

Locations

737 W Oak St
Ste 200
Kissimmee, FL 34741

737 W Oak St
Kissimmee, FL 34741
Phone (407) 279-0334

100 N Dean Rd
Ste 100
Orlando, FL 32825

206 N Dean Rd
Ste 110
Orlando, FL 32825
Phone (407) 900-7184

721 W Colonial Dr
Orlando, FL 32804
Phone (407) 245-8501

100 N Dean Rd
Ste 101
Orlando, FL 32825
Phone (407) 348-7388

1403 Medical Plaza Dr
Ste 206
Sanford, FL 32771
Phone (407) 322-9530

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJGCAA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1083460141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39873 HIGHWAY 27 STE 101",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377802",
            "telephone_number": "787-966-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39873 HIGHWAY 27 STE 101",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377802",
            "telephone_number": "787-966-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ CONTRERAS",
        "first_name": "GENESIS",
        "middle_name": "MARIE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.