Guadalupe Sulbaran, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11015333 Issued in FL

Practice address

1840 Forest Hill Blvd Ste 101
West Palm Beach, FL 33406-6055

Phone

(561) 964-1181

Fax

(561) 964-1196

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AWCHU1
• FHIR API: https://fhir4.healow.com/fhir/r4/AWCHU1/Endpoint/AWCHU1

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.

• Blas a Reyes MD PA

  • MOHS-Micrographic Surgery Physician
  • Miami, FL
  • NPI 1104993005
  NPD (past)
• Edward a. Gross, MD, PA

  • Medical Specialty Clinic/Center
  • Miami Beach, FL
  • NPI 1114353083
  NPD (past)
• Soma Medical Center, P. a #4

  • Pediatrics Physician
  • Lake Worth, FL
  • NPI 1184920613
  NPD (past)
• Soma Medical Center, PA #4

  • Pediatrics Physician
  • West Palm Beach, FL
  • NPI 1265981799
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1013687904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 FOREST HILL BLVD STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066055",
            "telephone_number": "619-641-1815",
            "fax_number": "561-964-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FOREST HILL BLVD STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066055",
            "telephone_number": "561-964-1181",
            "fax_number": "561-964-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULBARAN",
        "first_name": "GUADALUPE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015333",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11015333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaysen Torrey Sudnykovych, D.C.
• Alina Suell
• Sabrina Suero, M.S.
• Sujay Trivedi DMD PA
• Osama Sheikh Sulaiman
• Milva E Sulca
• Tara Leigh Sullivan-Butrica, LCSW
• Rebecca Sullivan, DPT
• Steven Nicholas Sullivan
• Mehrunnisa Sultana, M.D.

• Pediatric Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.