Katrina Guzman

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F342975-1 Issued in NY

Practice address

111 Broadway
Suite 504
New York, NY 10006

Phone

(212) 537-5039

NPI assigned

Oct 19, 2017

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

Enrolled in FL, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1396794574
  Medicare reassignment NPD
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Cape Coral, FL
  • NPI 1760590962
  Medicare reassignment NPD
• North Shore Hematology Oncology Associates PC

  • Hematology & Oncology Physician
  • New Hyde Park, NY
  • NPI 1164460754
  NPD (past)

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1073024840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROADWAY",
            "address_2": "SUITE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10006",
            "telephone_number": "212-796-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY",
            "address_2": "SUITE 504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10006",
            "telephone_number": "212-537-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Glenwood Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923308",
            "country_code": "US",
            "telephone_number": "407-898-5452",
            "fax_number": "407-628-9529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 E 86th St Ofc 4C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10028",
            "country_code": "US",
            "telephone_number": "128-616-6660",
            "fax_number": "212-744-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "KATRINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9363257",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F342975-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Guzman, LMHC-D
• Jonathan Michael Guzman
• Josefina Guzman
• Jovanni Guzman
• Karolina Guzman
• Kevin Jose Guzman, MD
• Leon Anibal Guzman, CNA
• Lilibeth Guzman, LMSW
• Luisa Guzman, PHARMD
• Maria Guzman

• Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.