Individual provider Active NPI

Anide Gonzalez, REGISTERED NURSE

  • Registered Nurse
  • Vero Beach, FL
National Provider Identifier
1730519554
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 2945502 Issued in FL
Practice address
8655 22ND St
Vero Beach, FL 32966-1725
Phone
(772) 774-8952
Fax
(772) 774-8945
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 2945502 FL Primary

Addresses

Primary practice location

8655 22ND St
Vero Beach, FL 32966-1725

Mailing address

8655 22ND St
Vero Beach, FL 32966-1725
Phone (772) 774-8952

Other identifiers 1

IdentifierTypeStateIssuer
009315600MedicaidFL

Other names 1

  • Anide Gonzalez Professional name

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

LicenseStateTypeSpecialty
RN 2945502FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1730519554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 22ND ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661725",
            "telephone_number": "772-774-8952",
            "fax_number": "772-774-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 22ND ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661725",
            "telephone_number": "772-774-8952",
            "fax_number": "772-774-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANIDE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 2945502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009315600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIDE",
            "last_name": "GONZALEZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.