Individual provider Active NPI

Ada Gonzalez Fleitas, CBHCM, RN

  • Registered Nurse
  • Miami Lakes, FL
National Provider Identifier
1942878376
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9519458 Issued in FL
Practice address
14411 Commerce Way
Miami Lakes, FL 33016-1596
Phone
(754) 234-4331
NPI assigned
Jun 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9519458 FL Primary

Addresses

Primary practice location

14411 Commerce Way
Miami Lakes, FL 33016-1596

Mailing address

300 Bayview Dr Apt 703
Sunny Isles Beach, FL 33160-4745
Phone (813) 270-3865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9519458FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Learn & Enjoy Behavior Services Corporation CurrentSince Jun 22, 2021 Accepting new patients

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": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1942878376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BAYVIEW DR APT 703",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604745",
            "telephone_number": "813-270-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161596",
            "telephone_number": "754-234-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ FLEITAS",
        "first_name": "ADA",
        "credential": "CBHCM, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9519458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.