Individual provider Active NPI

Yanisleidi Gonzalez Gonzalez, APRN

  • Family Nurse Practitioner
  • Hialeah Gardens, FL
National Provider Identifier
1871378604
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027978 Issued in FL
Practice address
11656 NW 89TH CT
Hialeah Gardens, FL 33018-4152
Phone
(305) 923-2899
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 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 APRN11027978 FL Primary

Addresses

Primary practice location

11656 NW 89TH CT
Hialeah Gardens, FL 33018-4152

Mailing address

11656 NW 89TH CT
Hialeah Gardens, FL 33018-4152
Phone (305) 923-2899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11027978FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1871378604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11656 NW 89TH CT",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184152",
            "telephone_number": "305-923-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11656 NW 89TH CT",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184152",
            "telephone_number": "305-923-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GONZALEZ",
        "first_name": "YANISLEIDI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

Verify at the official NPI Registry.