Orquidea Natividad Gomez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11016477 Issued in FL

Practice address

5728 SW 119TH Ave
Cooper City, FL 33330-3347

Phone

(305) 606-4780

NPI assigned

Dec 2, 2021

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Clinic and Research Center LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1508590977
  Medicare reassignment NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1639837198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 SW 119TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303347",
            "telephone_number": "305-606-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 SW 119TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303347",
            "telephone_number": "305-606-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ORQUIDEA",
        "middle_name": "NATIVIDAD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Andrew Gilson, DMD
• Susan Glantz Volk
• Nicole Beth Glanzt, RD, LD/N
• Melvyn S Gober, DDS
• Jennifer Lynn Goldin, PH.D.
• Ernesto Gonzalez, PTA
• Leon Gonzalez
• Nancy Carol Gonzalez, ARNP
• Aaron Goodstein, RN
• Jason Thad Granger, D.C.

• Family Nurse Practitioner in Cooper City, FL
• Providers in Cooper City, 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 Dec 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.