Individual provider Active NPI

Jaelen Loyola Guerrant

  • Critical Care Medicine Registered Nurse
  • Virginia Beach, VA
National Provider Identifier
1083522239
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
0001305019 Issued in VA
Practice address
1881 University Dr
Virginia Beach, VA 23453-8083
Phone
(540) 761-9710
NPI assigned
Aug 31, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 0001305019 VA Primary

Addresses

Primary practice location

1881 University Dr
Virginia Beach, VA 23453-8083

Mailing address

1881 University Dr
Virginia Beach, VA 23453-8001

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1083522239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 UNIVERSITY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234538001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 UNIVERSITY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234538083",
            "telephone_number": "540-761-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRANT",
        "first_name": "JAELEN",
        "middle_name": "LOYOLA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001305019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.