Individual provider Active NPI

Ariacne Lopez Gonzalez, FNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1649929852
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11018881 Issued in FL
Practice address
2230 NW 95TH St
Miami, FL 33147-2414
Phone
(305) 827-2977
Fax
(305) 820-6374
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11018881 FL Primary

Addresses

Primary practice location

2230 NW 95TH St
Miami, FL 33147-2414

Mailing address

2230 NW 95TH St
Miami, FL 33147-2414
Phone (305) 827-2977

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
I20220416000064 FL Practitioner - Nurse Practitioner 1153717327 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11018881FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida LLC CurrentSince Mar 1, 2022 Accepting new patients
Best Value Healthcare LLC CurrentSince Mar 3, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Past Accepting new patients

Locations

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1649929852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472414",
            "telephone_number": "305-827-2977",
            "fax_number": "305-820-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472414",
            "telephone_number": "305-827-2977",
            "fax_number": "305-820-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GONZALEZ",
        "first_name": "ARIACNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11018881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.