Ana Ivis Cabrera Gonzalez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11000095 Issued in FL

Practice address

13240 N Cleveland Ave Ste 2-3
North Fort Myers, FL 33903-4855

Phone

(786) 346-0178

NPI assigned

Jan 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ana.cabrera.gonzalez.1@31121.direct.athenahealth.com

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.

• Giana Medical Center Clinica Hispana Corp

  • General Practice Physician
  • North Fort Myers, FL
  • NPI 1194340018
  Medicare reassignment NPD

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1912470709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13240 N CLEVELAND AVE STE 2&3",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034855",
            "telephone_number": "239-599-4986",
            "fax_number": "239-205-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13240 N CLEVELAND AVE STE 2-3",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034855",
            "telephone_number": "786-346-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA GONZALEZ",
        "first_name": "ANA",
        "middle_name": "IVIS",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103523500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7P8TK",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Brown
• Sharon Lyn Buckley
• Niursy Maria Burgal Acosta
• Javier Burgos Zamora
• Editha Anne Butler, APRN
• Evelio Campos Ugarte, ARNP
• Stefany Andrea Campos
• Aileen Cancio Leon
• Xing X Cao, PHARM D
• Cape Chateau 3 Alf LLC

• Family Nurse Practitioner in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.