Active NPI
Luz B Gomez, APRN
- Pediatric Nurse Practitioner
- Jupiter, FL
National Provider Identifier
1962766527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN9242922
- Practice address
- 1025 Military TRL
Suite #109
Jupiter, FL 33458-7040 - Phone
- (561) 741-0000
- Fax
- (561) 745-4212
- NPI assigned
- Jun 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN9242922 | FL | Primary |
Addresses
Primary practice location
1025 Military TRL
Suite #109
Jupiter, FL 33458-7040
Mailing address
1025 Military TRL
Suite #109
Jupiter, FL 33458-7040
Phone (561) 741-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007221200 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9242922 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1962766527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MILITARY TRL",
"address_2": "SUITE #109",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587040",
"telephone_number": "561-741-0000",
"fax_number": "561-745-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MILITARY TRL",
"address_2": "SUITE #109",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587040",
"telephone_number": "561-741-0000",
"fax_number": "561-745-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "LUZ",
"middle_name": "B",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN9242922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007221200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.