Glaimet Alexandra Gomez Nimlin, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

28092 Issued in FL

Practice address

3070 E College Ave
Ruskin, FL 33570-5220

Phone

(813) 641-2945

NPI assigned

Apr 14, 2021

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coast Florida P.a.

  dba Coast Dental-Sun City

  • Dentist
  • Ruskin, FL
  • NPI 1396311775
  NPD
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1861072605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5719 1ST AVENUE DR W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092509",
            "telephone_number": "941-203-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 E COLLEGE AVE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705220",
            "telephone_number": "813-641-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ NIMLIN",
        "first_name": "GLAIMET",
        "middle_name": "ALEXANDRA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "28092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glay263@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3070 E College Ave",
            "city": "Ruskin",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335705220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Roderick Green
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• Dental Hygienist in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.