Individual provider Active NPI

Jamela Henriette Gutierrez

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1073294583
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027633 Issued in FL
Practice address
16799 NE 1St Ave
North Miami Beach, FL 33162-3405
Phone
(305) 652-3424
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11027633 FL Primary

Addresses

Primary practice location

16799 NE 1St Ave
North Miami Beach, FL 33162-3405

Mailing address

19501 W Country Club Dr Apt 401
Aventura, FL 33180-2472
Phone (954) 817-9194

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920001842 FL Practitioner - Nurse Practitioner 0446791198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

3700 Johnson St
Suite C
Hollywood, FL 33021-6031
Phone (954) 265-1400

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11027633FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation for Sickle Cell Disease Research CurrentSince Jul 11, 2024 Accepting new patients
South Broward Hospital District CurrentSince Dec 1, 2025 Accepting new patients
South Broward Hospital District CurrentSince Dec 1, 2025 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3700 Johnson St
Ste B
Hollywood, FL 33021
Phone (954) 265-1400

1685 S State Road 7
Ste 4
Hollywood, FL 33023
Phone (954) 459-4600

3700 Johnson St
Ste C
Hollywood, FL 33021
Phone (954) 265-1400

Interoperability endpoints

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1073294583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 W COUNTRY CLUB DR APT 401",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802472",
            "telephone_number": "954-817-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16799 NE 1ST AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623405",
            "telephone_number": "305-652-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JAMELA",
        "middle_name": "HENRIETTE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.