Individual provider Active NPI

Zachira Gonzalez

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1790317188
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005157 Issued in FL
Practice address
10131 Forest Hill Blvd Ste 140
Wellington, FL 33414-6155
Phone
(561) 513-9030
Fax
(561) 793-4375
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 APRN11005157 FL Primary

Addresses

Primary practice location

10131 Forest Hill Blvd Ste 140
Wellington, FL 33414-6155

Mailing address

10131 Forest Hill Blvd Ste 140
Wellington, FL 33414-6155
Phone (561) 513-9030

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
I20240205001223 FL Practitioner - Nurse Practitioner 6103269485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center, P. a #4 CurrentSince Jan 30, 2024 Accepting new patients
Soma Medical Center, PA Past Accepting new patients

Locations

330 S Dixie Hwy
Ste 3
Lake Worth, FL 33460
Phone (561) 275-1155

421 S Dixie Hwy
Lake Worth Beach, FL 33460
Phone (561) 275-1155

10125 W Colonial Dr
Ste 205
Ocoee, FL 34761
Phone (407) 578-1241

10131 Forest Hill Blvd
Ste 140
Wellington, FL 33414
Phone (561) 513-9030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AWCHU1
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 2

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1790317188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 140",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146155",
            "telephone_number": "561-513-9030",
            "fax_number": "561-793-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 FOREST HILL BLVD STE 140",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146155",
            "telephone_number": "561-513-9030",
            "fax_number": "561-793-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ZACHIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.