Active NPI
Nicholas Gomez
- Behavior Technician
- Miami, FL
National Provider Identifier
1114662582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-204056
- Practice address
- 14221 SW 120TH St Ste 214
Miami, FL 33186-4224 - Phone
- (786) 452-1185
- NPI assigned
- May 1, 2022
- Last updated
- Nov 11, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-204056 | FL | Primary |
Addresses
Primary practice location
14221 SW 120TH St Ste 214
Miami, FL 33186-4224
Mailing address
13370 SW 91St Ter
Unit a
Miami, FL 33186-1613
Phone (305) 778-9523
Other practice location 1
1500 S Douglas Rd # 230
Coral Gables, FL 33134-4108
Phone (786) 751-4534
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 |
|---|---|---|---|
| RBT-22-204056 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1114662582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13370 SW 91ST TER",
"address_2": "UNIT A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861613",
"telephone_number": "305-778-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14221 SW 120TH ST STE 214",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864224",
"telephone_number": "786-452-1185"
}
],
"practiceLocations": [
{
"address_1": "1500 S Douglas Rd # 230",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331344108",
"country_code": "US",
"telephone_number": "786-751-4534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-01",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-204056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.