Individual provider Active NPI

Elismey Silva Gonzalez, NP

  • Acute Care Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1295561843
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11021467 Issued in FL
Practice address
1130 SE 19TH LN
Cape Coral, FL 33990-4583
Phone
(305) 926-8333
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11021467 FL Primary

Addresses

Primary practice location

1130 SE 19TH LN
Cape Coral, FL 33990-4583

Mailing address

1130 SE 19TH LN
Cape Coral, FL 33990-4583
Phone (305) 926-8333

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
I20241220002866 FL Practitioner - Nurse Practitioner 2567999113

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1130 SE 19TH LN
Cape Coral, FL 33990-4583

Hospital & facility affiliations

  • Aviata at North Fort Myers Nursing home, N Ft Myers, FL, CCN 105507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021467FLMDAcute Care Nurse Practitioner

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1295561843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SE 19TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904583",
            "telephone_number": "305-926-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SE 19TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904583",
            "telephone_number": "305-926-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA GONZALEZ",
        "first_name": "ELISMEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11021467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.