Active NPI
Bianca M Gonzalez
- Nurse's Aide
- Miami Lakes, FL
National Provider Identifier
1699280461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA334670
- Practice address
- 5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434 - Phone
- (786) 953-5120
- Fax
- (786) 636-6965
- NPI assigned
- Dec 2, 2017
- Reactivated
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Nurse's Aide | 376K00000X | CNA334670 | FL | Primary |
Addresses
Primary practice location
5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434
Mailing address
5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434
Phone (786) 953-5120
Other practice location 1
7789 NW 146th St
Miami Lakes, FL 33016-1567
Phone (305) 824-0230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA334670 | FL | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Angels Special Care Inc | Single Specialty | Current | Accepting new patients |
Locations
5979 NW 151st St
Ste 102I
Miami Lakes, FL 33014
Phone (786) 431-5801
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Miami Lakes, FL
- NPI 1356833537
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1699280461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5979 NW 151ST ST STE 102I",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142434",
"telephone_number": "786-953-5120",
"fax_number": "786-636-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 NW 151ST ST STE 102I",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142434",
"telephone_number": "786-953-5120",
"fax_number": "786-636-6965"
}
],
"practiceLocations": [
{
"address_1": "7789 NW 146th St",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "330161567",
"country_code": "US",
"telephone_number": "305-824-0230",
"fax_number": "305-824-0230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "BIANCA",
"middle_name": "M",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-02",
"last_updated": "2018-11-16",
"deactivation_date": "2018-04-27",
"reactivation_date": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA334670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.