Individual provider Active NPI

Bianca Alexa Gonzalez, APRN

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1396458709
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023685 Issued in FL
Practice address
5210 Linton Blvd Ste 301
Delray Beach, FL 33484-6537
Phone
(561) 496-7900
Fax
(877) 536-5811
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023685 FL Primary

Addresses

Primary practice location

5210 Linton Blvd Ste 301
Delray Beach, FL 33484-6537

Mailing address

5210 Linton Blvd Ste 301
Delray Beach, FL 33484-6537
Phone (615) 496-7900

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
I20231228003339 FL Practitioner - Nurse Practitioner 7416307707 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11023685FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rodolfo Carrillo Jimenez MD PA CurrentSince Dec 22, 2023 Accepting new patients

Locations

5210 Linton Blvd
Ste 301
Delray Beach, FL 33484
Phone (561) 496-7900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BADGCD

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": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1396458709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD STE 301",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846537",
            "telephone_number": "615-496-7900",
            "fax_number": "877-536-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD STE 301",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846537",
            "telephone_number": "561-496-7900",
            "fax_number": "877-536-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BIANCA",
        "middle_name": "ALEXA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.