Individual provider Active NPI

Amy L Gonzalez, FNP-BC

  • Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1275013120
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9344120 Issued in FL
Practice address
2503 Del Prado Blvd S Ste 510
Cape Coral, FL 33904-5709
Phone
(239) 319-3933
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9344120 FL
Nurse Practitioner 363L00000X APRN9344120 FL Primary

Addresses

Primary practice location

2503 Del Prado Blvd S Ste 510
Cape Coral, FL 33904-5709

Mailing address

2503 Del Prado Blvd S Ste 510
Cape Coral, FL 33904-5709
Phone (239) 319-3933

Other practice location 1

150 W McKenzie St Ste 114
Punta Gorda, FL 33950
Phone (941) 347-7288

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
I20190220002559 FL Practitioner - Nurse Practitioner 8426396268 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9344120FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Family Health LLC CurrentSince Jan 31, 2022 Accepting new patients

Locations

2503 Del Prado Blvd S
Ste 510
Cape Coral, FL 33904
Phone (239) 313-3933

3208 Chiquita Blvd S
Ste 108
Cape Coral, FL 33914
Phone (239) 266-7319

2915 Colonial Blvd
Ste 220
Fort Myers, FL 33966
Phone (239) 313-3933

3380 Tamiami Trl
Ste C
Port Charlotte, FL 33952
Phone (800) 933-2076

150 W McKenzie St
Ste 114
Punta Gorda, FL 33950
Phone (407) 288-0598

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1275013120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 DEL PRADO BLVD S STE 510",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045709",
            "telephone_number": "239-319-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 DEL PRADO BLVD S STE 510",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045709",
            "telephone_number": "239-319-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W McKenzie St Ste 114",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "33950",
            "country_code": "US",
            "telephone_number": "941-347-7288",
            "fax_number": "941-761-6272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9344120",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9344120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.