Active NPI
Heydi Rodriguez Gomez, FNP-C, RN, RBT
- Family Nurse Practitioner
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11033591
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110150000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-155719 | FL | MD | Behavior Technician |
| 11033591 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suramed Health Center, PA | Past | Accepting new patients | |
| Behavioral Effects Inc. | Past | 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.
-
- Behavior Analyst
- Palm Beach Gardens, FL
- NPI 1720673916
-
- Pediatrics Physician
- West Palm Beach, FL
- NPI 1083910632
-
- Pediatrics Physician
- Greenacres, FL
- NPI 1386136570
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.