Individual provider Active NPI

Yanet Gonzalez Gongora

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1922894419
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11038729 Issued in FL
Practice address
6408 N Armenia Ave Ste B-1
Tampa, FL 33604-5770
Phone
(813) 352-8305
NPI assigned
Apr 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11038729 FL Primary

Addresses

Primary practice location

6408 N Armenia Ave Ste B-1
Tampa, FL 33604-5770

Mailing address

6408 N Armenia Ave Ste B-1
Tampa, FL 33604-5770
Phone (813) 352-8305

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
I20260528001090 FL Practitioner - Nurse Practitioner 3476023771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4103 Woodacre LN
Tampa, FL 33624-1346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11038729FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rag Medical Clinic LLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

6408 N Armenia Ave
Ste B-1
Tampa, FL 33604
Phone (813) 352-8305

Organizations & group practices 1

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": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1922894419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 N ARMENIA AVE STE B-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045770",
            "telephone_number": "813-352-8305",
            "fax_number": "813-793-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 N ARMENIA AVE STE B-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045770",
            "telephone_number": "813-352-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GONGORA",
        "first_name": "YANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-19",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11038729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.