Active NPI
Kristina Gomes, PA-C
- Physician Assistant
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109134
- Practice address
- 4024 Crockers Lake Blvd Apt 612
Sarasota, FL 34238-5525 - Phone
- (941) 549-3988
- NPI assigned
- Oct 7, 2015
- Last updated
- Oct 7, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109134 | FL | Primary |
Addresses
Primary practice location
4024 Crockers Lake Blvd Apt 612
Sarasota, FL 34238-5525
Mailing address
4024 Crockers Lake Blvd
Sarasota, FL 34238-5597
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000
1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 939-0800
2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (941) 261-9000
5741 Bee Ridge Rd
Sarasota, FL 34233-5064
Phone (941) 342-1303
5741 Bee Ridge Rd
Suite 450
Sarasota, FL 34233-5081
Phone (941) 951-2663
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarasota Orthopedic Associates LLC | Current | Accepting new patients | |
| Ortho Florida, LLC | Current | Accepting new patients | |
| Ortho Florida, LLC | Current | Accepting new patients |
Locations
433 Plaza Real
Ste 275
Boca Raton, FL 33432
Phone (561) 262-0084
660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
2750 Bahia Vista St
Ste 100
Sarasota, FL 34239
5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- kgomes@360-ortho.emadirect.md
Organizations & group practices 3
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.
-
- Specialist
- Boca Raton, FL
- NPI 1821113192
-
dba 360 Orthopedics
- Orthopaedic Surgery Physician
- Nokomis, FL
- NPI 1013976422
-
dba Wells Orthopedic Surgery & Sports Medicine
- Orthopaedic Surgery Physician
- Fort Lauderdale, FL
- NPI 1225833858
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1205207990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 CROCKERS LAKE BLVD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342385597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 CROCKERS LAKE BLVD APT 612",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342385525",
"telephone_number": "941-549-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "KRISTINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.