Active NPI
Krista Gomes, MD
- Student in an Organized Health Care Education/Training Program
- Fort Lauderdale, FL
National Provider Identifier
1104404862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4725 N Federal Hwy
Fort Lauderdale, FL 33308 - Phone
- (954) 771-8000
- NPI assigned
- Apr 1, 2021
- Last updated
- Sep 17, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME163093 | FL |
Addresses
Primary practice location
4725 N Federal Hwy
Fort Lauderdale, FL 33308
Mailing address
10437 SW 53Rd St
Cooper City, FL 33328-5607
Phone (954) 594-4302
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1104404862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10437 SW 53RD ST",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333285607",
"telephone_number": "954-594-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "954-771-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "KRISTA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2026-09-17",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME163093",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.