JACKELINE GONZALEZ (NPI# 1619451549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619451549 |
| Entity Type | Individual |
| Full Name | JACKELINE GONZALEZ |
| Credential | ARNP |
| Practice Address |
4013 Sw 144th Pl Miami FL 33175-7844 |
| Practice Telephone | 7862463719 |
| Mailing Telephone | 7862463719 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 9285295 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225434392 | Jackeline Guzman Gonzalez | Marriage & Family Therapist | 790 Via Lata Ste 300, Colton, CA 92324-3978 | 2014-11-17 |
| Street Address |
4013 SW 144TH PL |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-7844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031975 | Daniela Ofarrill | Home Health Aide | 4013 Sw 144th Pl, Miami, FL 33175-7844 | 2019-09-10 |
| 1609432897 | Darlena Ofarrill | Nurse Practitioner | 4013 Sw 144th Pl, Miami, FL 33175-7844 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003004 | Yudaisy Salgueiro | Nurse Practitioner | 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 | 2020-11-05 |
| 1497354153 | Osmel Martinez Rosales | Nurse Practitioner | 12401 Sw 187th St, Miami, FL 33177-3129 | 2020-10-22 |
| 1578161980 | Yudiel Alvarez | Nurse Practitioner | 12460 Sw 31st Ter, Miami, FL 33175-2653 | 2020-10-16 |
| 1134727621 | Michel Hernandez Hernandez | Nurse Practitioner | 9545 Sw 24th St Apt B311, Miami, FL 33165-8054 | 2020-10-15 |
| 1316545023 | Yisel Castro Someillan | Nurse Practitioner | 8141 Sw 152nd Ct, Miami, FL 33193-1305 | 2020-10-14 |
| 1841898566 | Yanela Mesa | Nurse Practitioner | 20842 Sw 121st Ave, Miami, FL 33177-5347 | 2020-10-14 |
| 1861099178 | Ninoska Monteiro | Nurse Practitioner | 9310 Sw 103rd Ave, Miami, FL 33176-1610 | 2020-10-08 |
| 1740887488 | Chelsie Ortiz | Nurse Practitioner | 2651 Nw 84th Ave Apt 104, Miami, FL 33122-1570 | 2020-10-06 |
| 1992302756 | Eduardo Novoa Cianelli | Nurse Practitioner | 15350 Sw 34th St, Miami, FL 33185-4725 | 2020-10-05 |
| 1730796426 | Claudia Fages | Nurse Practitioner | 140 Nw 58th Ct, Miami, FL 33126-4736 | 2020-09-26 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.