Individual provider Active NPI

Lesly Gomez Guirola

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1033062567
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11041086 Issued in FL
Practice address
1805 Rutherford LN Ste 210
Austin, TX 78754-5185
Phone
(512) 817-7966
NPI assigned
Feb 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 68999 NM
Nurse Practitioner 363L00000X 11041086 FL Primary

Addresses

Primary practice location

1805 Rutherford LN Ste 210
Austin, TX 78754-5185

Mailing address

1805 Rutherford LN Ste 210
Austin, TX 78754-5185
Phone (512) 817-7966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11041086FLMDNurse Practitioner
68999NMMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1033062567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 RUTHERFORD LN STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545185",
            "telephone_number": "512-817-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 RUTHERFORD LN STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545185",
            "telephone_number": "512-817-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ GUIROLA",
        "first_name": "LESLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "68999",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11041086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.