Individual provider Active NPI

Carina S Gomez, APRN

  • Family Nurse Practitioner
  • Bonita Springs, FL
National Provider Identifier
1376210393
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014016 Issued in FL
Practice address
24830 Burnt Pine Dr Ste 3
Bonita Springs, FL 34134-1974
Phone
(239) 823-3179
Fax
(239) 268-9688
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 APRN11014016 FL Primary
Family Nurse Practitioner 363LF0000X C-APN.0104871-C-NP CO

Addresses

Primary practice location

24830 Burnt Pine Dr Ste 3
Bonita Springs, FL 34134-1974

Mailing address

2915 27TH St SW
Lehigh Acres, FL 33976-4015
Phone (352) 593-3976

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
I20210922002974 FL Practitioner - Nurse Practitioner 5496152175 Reassigns benefits to 3 organizations

Care Compare profile

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

Practice addresses (Care Compare)

24830 Burnt Pine Dr
Suite 3
Bonita Springs, FL 34134-1974
Phone (352) 593-3976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0104871-C-NPCOMDFamily Nurse Practitioner
APRN11014016FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Well-Being LLC Family CurrentSince Oct 26, 2023 Accepting new patients
Pophealthcare, LLC CurrentSince Oct 20, 2024 Accepting new patients
Pophealthcare, LLC Family CurrentSince Oct 20, 2024 Accepting new patients

Locations

24830 Burnt Pine Dr
Ste 3
Bonita Springs, FL 34134
Phone (239) 703-9301

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Organizations & group practices 4

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1376210393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 27TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339764015",
            "telephone_number": "352-593-3976",
            "fax_number": "239-268-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24830 BURNT PINE DR STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341974",
            "telephone_number": "239-823-3179",
            "fax_number": "239-268-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CARINA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014016",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0104871-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.