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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LISBET YAMEL GONGORA
NPI 1386565604
Nurse Practitioner in Bradenton, FL

Active since July 22, 2026
2809 20TH AVENUE DR W, BRADENTON, FL 34205(702) 771-6702 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisbet Yamel Gongora NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISBET YAMEL GONGORA (NPI 1386565604) is an individual nurse practitioner in Bradenton, Florida, licensed in Florida (11049360) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1386565604
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISBET YAMEL GONGORA
Location Address2809 20TH AVENUE DR WBradenton, FL 34205-3825
Mailing Address2809 20th Avenue Dr WBradenton, FL 34205-3825 · (702) 771-6702
Phone(702) 771-6702
Sole ProprietorNo
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1386565604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11049360
Definition

(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.

2809 20TH AVENUE DR W, Bradenton, FL 34205
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisbet Gongora's NPI number?

The NPI number for Lisbet Gongora is 1386565604. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Lisbet Gongora located?

Lisbet Gongora practices at 2809 20th Avenue Dr W, Bradenton, FL 34205. The listed phone number is (702) 771-6702.

What is Lisbet Gongora's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lisbet Gongora was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.