Individual provider Active NPI

Gladyslene Villalonga, APRN-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1235727488
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11010735 Issued in FL
Practice address
27502 SW 134TH CT
Homestead, FL 33032-8291
Phone
(786) 499-2154
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11010735 FL Primary

Addresses

Primary practice location

27502 SW 134TH CT
Homestead, FL 33032-8291

Mailing address

27502 SW 134TH CT
Homestead, FL 33032-8291
Phone (786) 499-2154

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
I20210604000536 FL Practitioner - Nurse Practitioner 2163821596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27502 SW 134TH CT
Homestead, FL 33032-8291
Phone (786) 499-2154

Hospital & facility affiliations

  • Ace Home Health Services Corp Home health agency, Sweetwater, FL, CCN 108250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010735FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gladyslene Villalonga Psychiatric Consultation LLC CurrentSince Feb 1, 2021 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1235727488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27502 SW 134TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328291",
            "telephone_number": "786-499-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27502 SW 134TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328291",
            "telephone_number": "786-499-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALONGA",
        "first_name": "GLADYSLENE",
        "credential": "APRN-PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11010735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.