Individual provider Active NPI

Arisbel Jimenez Gonzalez, APRN

  • Family Nurse Practitioner
  • Clewiston, FL
National Provider Identifier
1134905995
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028196 Issued in FL
Practice address
315 S W C Owen Ave
Clewiston, FL 33440-3637
Phone
(863) 983-7813
Fax
(844) 539-1104
NPI assigned
Sep 6, 2023
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 APRN11028196 FL Primary

Addresses

Primary practice location

315 S W C Owen Ave
Clewiston, FL 33440-3637

Mailing address

740 Crestview Cir Unit 206
Immokalee, FL 34142-2733
Phone (210) 721-3198

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
I20231121001264 FL Practitioner - Nurse Practitioner 1153779798 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Nov 15, 2023 Accepting new patients
Florida Community Health Centers Inc CurrentSince Nov 15, 2023 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers, Inc. Past Accepting new patients
Florida Community Health Centers, Inc. Past Accepting new patients
Coral Diagnostic Center Inc PastSince Sep 1, 2023 Accepting new patients

Locations

315 S W C Owen Ave
Clewiston, FL 33440
Phone (561) 996-9573

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

1021 Health Park Dr
Moore Haven, FL 33471
Phone (863) 946-0405

1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

Interoperability endpoints

  • Direct secure messaging: arisbel.jimenez.gonzalez.1@14865.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1134905995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 CRESTVIEW CIR UNIT 206",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422733",
            "telephone_number": "210-721-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S W C OWEN AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403637",
            "telephone_number": "863-983-7813",
            "fax_number": "844-539-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ GONZALEZ",
        "first_name": "ARISBEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

Verify at the official NPI Registry.