Individual provider Active NPI

Ana Claudia Cardoso Gomes, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1174220552
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024780 Issued in FL
Practice address
3355 Burns Rd Ste 104
Palm Beach Gardens, FL 33410-1009
Phone
(561) 691-4144
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 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 11024780 FL Primary

Addresses

Primary practice location

3355 Burns Rd Ste 104
Palm Beach Gardens, FL 33410-1009

Mailing address

3355 Burns Rd Ste 104
Palm Beach Gardens, FL 33410-4354
Phone (561) 691-4144

Other practice location 1

5458 Town Center Rd Ste 20
Boca Raton, FL 33486-1009
Phone (561) 391-6210

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11024780FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harry C Midgley III MD PA PastSince Apr 1, 2024 Accepting new patients

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1174220552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD STE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104354",
            "telephone_number": "561-691-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD STE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101009",
            "telephone_number": "561-691-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5458 Town Center Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334861009",
            "country_code": "US",
            "telephone_number": "561-391-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDOSO GOMES",
        "first_name": "ANA CLAUDIA",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2024-05-11",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.