Individual provider Active NPI

Olga Gomez Saez

  • Pediatric Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1548938491
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11015236 Issued in FL
Practice address
421 S Dixie Hwy
Lake Worth, FL 33460-4442
Phone
(561) 275-1155
Fax
(561) 275-1156
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11015236 FL Primary
Pediatric Nurse Practitioner 363LP0200X GAA-NP003647 GA

Addresses

Primary practice location

421 S Dixie Hwy
Lake Worth, FL 33460-4442

Mailing address

421 S Dixie Hwy
Lake Worth, FL 33460-4442
Phone (561) 275-1155

Other practice location 1

3145 S Congress Ave Ste B
Palm Springs, FL 33461-2553
Phone (561) 360-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250516002868 FL Practitioner - Nurse Practitioner 2365960937 Reassigns benefits to 3 organizations
I20250717001825 GA Practitioner - Nurse Practitioner 2365960937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015236FLMDPediatric Nurse Practitioner
GAA-NP003647GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jun 3, 2025 Accepting new patients
Travel Doctor, PL CurrentSince Apr 30, 2025 Accepting new patients
The Clinicians, LLC CurrentSince Apr 30, 2025 Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

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.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1548938491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604442",
            "telephone_number": "561-275-1155",
            "fax_number": "561-275-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604442",
            "telephone_number": "561-275-1155",
            "fax_number": "561-275-1156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 S Congress Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334612553",
            "country_code": "US",
            "telephone_number": "561-360-2034",
            "fax_number": "561-360-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ SAEZ",
        "first_name": "OLGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11015236",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "GAA-NP003647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.