Individual provider Active NPI

Nathalie Alina Gonzalez Ortiz, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1649815184
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004909 Issued in FL
Practice address
16540 SW 82ND St
Miami, FL 33193-5761
Phone
(305) 316-5633
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 11004909 FL Primary

Addresses

Primary practice location

16540 SW 82ND St
Miami, FL 33193-5761

Mailing address

16540 SW 82ND St
Miami, FL 33193-5761
Phone (305) 316-5633

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
I20200708000880 FL Practitioner - Nurse Practitioner 6608299789 Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004909FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1649815184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16540 SW 82ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935761",
            "telephone_number": "305-316-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16540 SW 82ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935761",
            "telephone_number": "305-316-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ORTIZ",
        "first_name": "NATHALIE",
        "middle_name": "ALINA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.