Active NPI
Irma Columbia Gonzalez, ARNP
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9360180
- Practice address
- 810 N Nowell St
Orlando, FL 32808-7539 - Phone
- (407) 290-9556
- Fax
- (407) 290-9509
- NPI assigned
- Dec 17, 2017
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9360180 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP9360180 | FL | Primary |
Addresses
Primary practice location
810 N Nowell St
Orlando, FL 32808-7539
Mailing address
121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Phone (407) 658-9687
Other practice location 1
659 Douglas Ave
Altamonte Springs, FL 32714-2509
Phone (407) 274-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG1109500 | Other | FL | BOARD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9360180 | FL | MD | Family Nurse Practitioner |
| ARNP9360180 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | Past | Accepting new patients | |
| Orlando Family Physicians, LLC | Past | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
4850 W Oakland Park Blvd
Ste 136
Lauderdale Lakes, FL 33313
Phone (954) 945-3530
180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855
Interoperability endpoints
- irma.gonzalez@wwmp.eclinicaldirectplus.com
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.
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1285140095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S ORANGE AVE STE 940",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013234",
"telephone_number": "407-658-9687",
"fax_number": "407-286-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 N NOWELL ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087539",
"telephone_number": "407-290-9556",
"fax_number": "407-290-9509"
}
],
"practiceLocations": [
{
"address_1": "659 Douglas Ave",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327142509",
"country_code": "US",
"telephone_number": "407-274-9777",
"fax_number": "407-637-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "IRMA",
"middle_name": "COLUMBIA",
"name_prefix": "Miss",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9360180",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9360180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD",
"identifier": "AG1109500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.