Individual provider Active NPI

Cristina Jacinta Rodrigues Goncalves, APRN

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1386281194
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11038463 Issued in FL
Practice address
1601 Town Center Blvd
Weston, FL 33326-3636
Phone
(954) 507-4494
NPI assigned
Dec 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9620188 FL
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X 19-492 FL
Family Nurse Practitioner 363LF0000X 11038463 FL Primary

Addresses

Primary practice location

1601 Town Center Blvd
Weston, FL 33326-3636

Mailing address

1400 Meadows Blvd
Weston, FL 33327-1805
Phone (954) 397-5759

Other practice location 1

1400 Meadows Blvd
Weston, FL 33327-1805
Phone (954) 397-5759

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
9620188FLMDRegistered Nurse
19-492FLMDSurgical Assistant
11038463FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Class OBGYN PA Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15759/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1386281194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MEADOWS BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271805",
            "telephone_number": "954-397-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TOWN CENTER BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263636",
            "telephone_number": "954-507-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Meadows Blvd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333271805",
            "country_code": "US",
            "telephone_number": "954-397-5759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUES GONCALVES",
        "first_name": "CRISTINA",
        "middle_name": "JACINTA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2025-04-03",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9620188",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "19-492",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11038463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.