Individual provider Active NPI

Yamila Caballero Gonzalez, FNP-C

  • Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1295504983
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11022087 Issued in FL
Practice address
8995 NW 115TH St
Hialeah Gardens, FL 33018-4117
Phone
(786) 227-9515
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11022087 FL Primary

Addresses

Primary practice location

8995 NW 115TH St
Hialeah Gardens, FL 33018-4117

Mailing address

8995 NW 115TH St
Hialeah Gardens, FL 33018-4117
Phone (786) 227-9515

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
APRN11022087FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1295504983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8995 NW 115TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184117",
            "telephone_number": "786-227-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 NW 115TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184117",
            "telephone_number": "786-227-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO GONZALEZ",
        "first_name": "YAMILA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11022087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.