Individual provider Active NPI

Gina Gomez-Pratt, RDN, LDN

  • Registered Dietitian
  • Clearwater, FL
National Provider Identifier
1902257447
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7225 Issued in FL
Practice address
3001 Executive Dr
Suite 130
Clearwater, FL 33762-2260
Phone
(727) 347-0005
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND7225 FL Primary

Addresses

Primary practice location

3001 Executive Dr
Suite 130
Clearwater, FL 33762-2260

Mailing address

3001 Executive Dr
Suite 130
Clearwater, FL 33762-2260
Phone (727) 347-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003000482 FL Practitioner - Registered Dietitian Or Nutrition Professional 2365739505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

3001 Executive Dr
Suite 130
Clearwater, FL 33762-5323
Phone (727) 347-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Florida Pharmacy, LLC CurrentSince Dec 15, 2019 Accepting new patients
West Central Gastroenterology LLP Dietitian, Registered CurrentSince Jul 25, 2016 Accepting new patients

Locations

920 S Myrtle Ave
Ste A
Clearwater, FL 33756
Phone (727) 462-0444

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1902257447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXECUTIVE DR",
            "address_2": "SUITE 130",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622260",
            "telephone_number": "727-347-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EXECUTIVE DR",
            "address_2": "SUITE 130",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622260",
            "telephone_number": "727-347-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-PRATT",
        "first_name": "GINA",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.