Individual provider Active NPI

Mayrelis Herrera Gomez, FNP

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1265258701
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10240782 Issued in FL
Practice address
26153 SW 124TH PL
Homestead, FL 33032-7020
Phone
(786) 246-0715
NPI assigned
Nov 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 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 F10240782 FL Primary

Addresses

Primary practice location

26153 SW 124TH PL
Homestead, FL 33032-7020

Mailing address

26153 SW 124TH PL
Homestead, FL 33032-7020
Phone (786) 246-0715

Other names 1

  • Mayrelis Herrera Gomez Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F10240782FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1265258701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26153 SW 124TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327020",
            "telephone_number": "786-246-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26153 SW 124TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327020",
            "telephone_number": "786-246-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA GOMEZ",
        "first_name": "MAYRELIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10240782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRELIS",
            "last_name": "HERRERA GOMEZ",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.