Individual provider Active NPI

Vanessa Gonzalez, APRN

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1235739897
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9366022 Issued in FL
Practice address
931 S Park Rd Apt 207
Hollywood, FL 33021-8762
Phone
(786) 252-0841
NPI assigned
Oct 31, 2020
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 9366022 FL Primary

Addresses

Primary practice location

931 S Park Rd Apt 207
Hollywood, FL 33021-8762

Mailing address

931 S Park Rd Apt 207
Hollywood, FL 33021-8762
Phone (786) 252-0841

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
I20210222000857 FL Practitioner - Nurse Practitioner 4688089865 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
Group practices
Healthstone Primary Care Partners LLCGroup PAC ID 7416230693, 12 clinicians

Practice addresses (Care Compare)

3700 Washington St
Suite 305
Hollywood, FL 33021-8249
Phone (954) 981-7070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9366022FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstone Primary Care Partners LLC CurrentSince Feb 1, 2021 Accepting new patients
Wayne N Evancho DO PA CurrentSince Jun 9, 2026 Accepting new patients

Locations

1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (305) 559-7996

3700 Washington St
Ste 305
Hollywood, FL 33021
Phone (954) 633-7858

3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888

1380 NE Miami Gardens Dr
Ste 285
North Miami Beach, FL 33179
Phone (304) 944-8777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJFCD

Organizations & group practices 2

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": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1235739897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 S PARK RD APT 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218762",
            "telephone_number": "786-252-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 S PARK RD APT 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218762",
            "telephone_number": "786-252-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VANESSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9366022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.