Olga Lidia Perez Gonzalez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11014695 Issued in FL

Practice address

6915 Larmon St
Tampa, FL 33634-4933

Phone

(813) 403-0996

NPI assigned

Oct 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Delight Care Home Health LLC

  • Home Health Agency
  • Tampa, FL
  • NPI 1073192621

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Pisces Wound Care Inc

  • General Practice Physician
  • Tampa, FL
  • NPI 1114718178
  Medicare reassignment NPD
• Renewal Therapy Services LLC

  • General Practice Physician
  • New Port Richey, FL
  • NPI 1659103448
  Medicare reassignment NPD
• Delight Care Home Health LLC

  • Home Health Agency
  • Tampa, FL
  • NPI 1073192621
  NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1801550959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 LARMON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344933",
            "telephone_number": "813-403-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 LARMON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336344933",
            "telephone_number": "813-403-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ GONZALEZ",
        "first_name": "OLGA",
        "middle_name": "LIDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Soe Perez Frometa
• Yanirys Perez Gallardo
• Yumeri Perez Garcia
• Anabell Perez Gomez
• Maria Del Rosario Perez Gomez
• Yamilet Perez Gonzalez
• Susana Perez Guillot
• Perez Health Care Group Inc
• Ailen Perez Hernandez
• Maria Teresa Perez Hernandez, ARNP

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.