Individual provider Active NPI

Ernesto Angel Costa Govea, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1891382867
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010768 Issued in FL
Practice address
14258 SW 101St LN
Miami, FL 33186-6967
Phone
(305) 639-0556
NPI assigned
Dec 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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 11010768 FL Primary

Addresses

Primary practice location

14258 SW 101St LN
Miami, FL 33186-6967

Mailing address

14258 SW 101St LN
Miami, FL 33186-6967
Phone (305) 639-0556

Other names 1

  • Ernesto Angel Costa Govea Professional name

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
I20211018000817 FL Practitioner - Nurse Practitioner 7214335546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11010768FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leal Medical Center LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8009/brand/1/csg/1/fhir/r4

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": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1891382867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14258 SW 101ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866967",
            "telephone_number": "305-639-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14258 SW 101ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866967",
            "telephone_number": "305-639-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA GOVEA",
        "first_name": "ERNESTO",
        "middle_name": "ANGEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNESTO",
            "last_name": "COSTA GOVEA",
            "middle_name": "ANGEL",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.