Individual provider Active NPI

Jessica Gonzalez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1578088175
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11036892 Issued in FL
Practice address
6202 SW 133Rd Ave
Miami, FL 33183-5080
Phone
(305) 299-0443
NPI assigned
Aug 4, 2017
Reactivated
Dec 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 APRN11036892 FL Primary

Addresses

Primary practice location

6202 SW 133Rd Ave
Miami, FL 33183-5080

Mailing address

6202 SW 133Rd Ave
Miami, FL 33183-5080
Phone (305) 299-0443

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
I20250429000944 FL Practitioner - Nurse Practitioner 1658809702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10300 SW 72ND St
Suite 160 Zen Spirit Wellness Center
Miami, FL 33173-3031
Phone (786) 644-5691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11036892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JDK Health, Corp. CurrentSince Jun 1, 2025 Accepting new patients

Locations

10300 Sunset Dr
Ste 160
Miami, FL 33173
Phone (305) 299-0443

Organizations & group practices 2

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1578088175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 SW 133RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835080",
            "telephone_number": "305-299-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 SW 133RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835080",
            "telephone_number": "305-299-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "deactivation_date": "2024-12-16",
        "reactivation_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.