Individual provider Active NPI

Mary Lynn Teeter Guarino, APRN

  • Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1083727713
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2909122 Issued in FL
Practice address
2834 11TH Ave N
St Petersburg, FL 33713-5502
Phone
(727) 276-6809
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2909122 FL
Nurse Practitioner 363L00000X ARNP2909122 FL Primary

Addresses

Primary practice location

2834 11TH Ave N
St Petersburg, FL 33713-5502

Mailing address

2834 11TH Ave N
St Petersburg, FL 33713-5502
Phone (727) 276-6809

Other identifiers 1

IdentifierTypeStateIssuer
304264200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2834 11TH Ave N
St Petersburg, FL 33713-5502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2909122FLMDNurse Practitioner
2909122FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empath Health Pharmaceuticals, LLC Past Accepting new patients
The Hospice of the Florida Suncoast, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1083727713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 11TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135502",
            "telephone_number": "727-276-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 11TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135502",
            "telephone_number": "727-276-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETER GUARINO",
        "first_name": "MARY LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "2909122",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2909122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304264200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.