Active NPI
Gissy L Suarez
- Gerontology Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11015376
- Practice address
- 3918 N Highland Ave
Tampa, FL 33603-4724 - Phone
- (727) 321-3854
- Fax
- (727) 327-7670
- NPI assigned
- Sep 15, 2021
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11015376 | FL | Primary |
Addresses
Primary practice location
3918 N Highland Ave
Tampa, FL 33603-4724
Mailing address
701 94TH Ave N Ste 250
Saint Petersburg, FL 33702-2448
Phone (727) 321-3854
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113780500 | Medicaid | FL | |
| 11015376 | Other | FL | ARNP |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3918 N Highland Ave
Tampa, FL 33603-4724
Phone (727) 321-3854
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015376 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Charities Inc | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Florida Pain Relief Group PLLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients |
Locations
10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
7050 Ulmerton Rd
Largo, FL 33771
Phone (727) 777-4540
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
3251 3rd Ave N
Rm 125
St Petersburg, FL 33713
Phone (727) 321-2527
701 94th Ave N
Ste 250
St Petersburg, FL 33702
3918 N Highland Ave
Tampa, FL 33603
Phone 72732138541025
3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493
1315 E 7th Ave
Tampa, FL 33605
Phone (813) 232-3808
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBGDBD
- https://fhir4.healow.com/fhir/r4/HBGDBD/Endpoint/HBGDBD
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Petersburg, FL
- NPI 1013277060
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tampa, FL
- NPI 1376994608
-
- Specialist
- Tampa, FL
- NPI 1700393881
-
- Specialist
- Bradenton, FL
- NPI 1811404908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1013687771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 94TH AVE N STE 250",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337022448",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 N HIGHLAND AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336034724",
"telephone_number": "727-321-3854",
"fax_number": "727-327-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "GISSY",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11015376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113780500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "11015376",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.