Individual provider Active NPI

Heydi Rodriguez Gomez, FNP-C, RN, RBT

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1366025322
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033591 Issued in FL
Practice address
2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931
Phone
(561) 275-7100
Fax
(561) 275-7199
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 11033591 FL Primary
Behavior Technician 106S00000X RBT-21-155719 FL

Addresses

Primary practice location

2640 Forest Hill Blvd
West Palm Beach, FL 33406-5931

Mailing address

4350 Canal 9 Rd
West Palm Beach, FL 33406-7516
Phone (786) 370-0352

Other practice location 1

6239 Lake Worth Rd
Greenacres, FL 33463-3003
Phone (561) 812-1271

Other practice location 2

3319 S State Road 7 Ste 109
Wellington, FL 33449-8099
Phone (561) 593-3525

Other practice location 3

683 SW Port St Lucie Blvd
Port St Lucie, FL 34953-1998
Phone (772) 202-4290

Other practice location 4

801 Meadows Rd Ste 116-118
Boca Raton, FL 33486-2346
Phone (561) 338-9615

Other identifiers 1

IdentifierTypeStateIssuer
110150000MedicaidFL

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
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RBT-21-155719FLMDBehavior Technician
11033591FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suramed Health Center, PA Past Accepting new patients
Behavioral Effects Inc. PastSince May 1, 2022 Accepting new patients
Suramed Health Center, PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1366025322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 CANAL 9 RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067516",
            "telephone_number": "786-370-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065931",
            "telephone_number": "561-275-7100",
            "fax_number": "561-275-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6239 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334633003",
            "country_code": "US",
            "telephone_number": "561-812-1271",
            "fax_number": "561-964-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3319 S State Road 7 Ste 109",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334498099",
            "country_code": "US",
            "telephone_number": "561-593-3525",
            "fax_number": "561-798-7726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "683 SW Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349531998",
            "country_code": "US",
            "telephone_number": "772-202-4290",
            "fax_number": "772-785-8138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Meadows Rd Ste 116-118",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862346",
            "country_code": "US",
            "telephone_number": "561-338-9615",
            "fax_number": "561-338-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ GOMEZ",
        "first_name": "HEYDI",
        "credential": "FNP-C, RN, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033591",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-155719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110150000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.