Evelyn Iris Gonzalez, ARNP,FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9256151 Issued in FL

Practice address

9009 Corporate Lake Dr
Tampa, FL 33634-2367

Phone

(813) 890-7834

Fax

(855) 668-1774

NPI assigned

Feb 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinicare Clinical Services, Inc.Group PAC ID 3870505092, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clinicare Clinical Services, Inc.

  • Nurse Practitioner
  • Clearwater, FL
  • NPI 1609818145
  Medicare reassignment Care Compare group NPD
• Take Care Health Services PA

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1689865818
  NPD (past)
• The Healthcaring Clinic of Florida, LLC

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1003914441
  NPD (past)
• Optum Care Services Company

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1912199415
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1407025992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 CORPORATE LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342367",
            "telephone_number": "813-890-7834",
            "fax_number": "855-668-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 CORPORATE LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342367",
            "telephone_number": "813-890-7834",
            "fax_number": "855-668-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EVELYN",
        "middle_name": "IRIS",
        "credential": "ARNP,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9256151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y00Y1",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000673800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dario Gonzalez, ATC
• Derek Gonzalez, MD
• Eduardo Gonzalez, MD
• Eiliany Gonzalez
• Erick Gonzalez, CRNA
• Evguenia Gonzalez, DPM
• Fabiola P Gonzalez, LMFT, MC
• Giselle Gonzalez
• Gonzalo A Gonzalez, M.D
• Hannah Gonzalez

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.