Loren Ebrada Gomes, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11011081 Issued in FL

Practice address

1430 Mason Ave
Daytona Beach, FL 32117-4551

Phone

(386) 274-2000

Fax

(386) 274-2009

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dna Center LLCGroup PAC ID 7618108978, 7 clinicians

Urgent Care Center of Port Orange LLCGroup PAC ID 5890712806, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4

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.

• Dna Center LLC

  • Multi-Specialty Clinic/Center
  • Daytona Beach, FL
  • NPI 1609117647

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Urgent Care Center of Port Orange, LLC

  • Urgent Care Clinic/Center
  • Port Orange, FL
  • NPI 1891905378

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Adventist Health System Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610

  Single Specialty

  Medicare reassignment NPD
• Urgent Care Centers of Brevard County LLC

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1295367290

  Single Specialty

  Medicare reassignment NPD
• Pain and Spine Specialists of Maryland, LLC

  • Specialist
  • Mount Airy, MD
  • NPI 1174884258

  FL, Single Specialty

  Medicare reassignment NPD
• Adventist Health System/ Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440
  NPD
• Urgent Care Centers of Brevard County LLC

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1801594858
  NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1972277622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278979",
            "telephone_number": "386-271-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174551",
            "telephone_number": "386-274-2000",
            "fax_number": "386-274-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Dunlawton Ave",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321278979",
            "country_code": "US",
            "telephone_number": "386-271-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMES",
        "first_name": "LOREN",
        "middle_name": "EBRADA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "F12200547",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11011081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Scott Goldsmith, MD
• Adam Kenneth Golias, PMHNP-BC, RN
• Radharani S. Gollamudi, M.D.
• Andrea Gollegly
• Sarah Gollubier
• Mayra E Gomez
• Tiffany A Gommel, MSW, RCSWI
• Gonstead Chiropractic Clinic of East Florida LLC
• Amanda Gonzalez, DNP, CRNA
• Arlene Gonzalez

• Primary Care Nurse Practitioner in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.
• 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.