Active NPI
Marla Robin Hernandez Gomez, CNA
- Nurse's Aide
- Tampa, FL
National Provider Identifier
1821731530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 121899
- Practice address
- 8730 Springtree Dr
Tampa, FL 33637-4309 - Phone
- (941) 894-9304
- NPI assigned
- Apr 20, 2022
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 121899 | FL | |
| Home Health Agency | 251E00000X | 121899 | FL | |
| Nursing Care Agency | 251J00000X | 121899 | FL | |
| Inpatient Hospice | 315D00000X | 121899 | FL | |
| Home Health Aide | 374U00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 121899 | FL | |
| Nurse's Aide | 376K00000X | 94989 | ND | |
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | AR016247001559 | AR | |
| Nurse's Aide | 376K00000X | 334451 | IA | |
| Nurse's Aide | 376K00000X | 20051957 | PA | |
| Nurse's Aide | 376K00000X | 121899 | FL | Primary |
Addresses
Primary practice location
8730 Springtree Dr
Tampa, FL 33637-4309
Mailing address
8730 Springtree Dr
Tampa, FL 33637-4309
Phone (941) 894-9304
Other names 1
- Marla Robin Pellicone
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.marlacnatravel.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 121899 | FL | MD | Nursing Care Agency |
| AR016247001559 | AR | MD | Nurse's Aide |
| 334451 | IA | MD | Nurse's Aide |
| 94989 | ND | MD | Nurse's Aide |
| 20051957 | PA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1821731530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8730 SPRINGTREE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336374309",
"telephone_number": "941-894-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8730 SPRINGTREE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336374309",
"telephone_number": "941-894-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ GOMEZ",
"first_name": "MARLA",
"middle_name": "ROBIN",
"name_prefix": "Ms.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "FL",
"license": "121899",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "121899",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "121899",
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "FL",
"license": "121899",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "121899",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "ND",
"license": "94989",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "AR",
"license": "AR016247001559",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "IA",
"license": "334451",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "PA",
"license": "20051957",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "121899",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.marlacnatravel.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "EMAIL",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Hire Contract",
"address_1": "8730 Springtree Dr",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336374309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARLA",
"last_name": "PELLICONE",
"middle_name": "ROBIN",
"credential": "CNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.