Active NPI
Mary Lynn Teeter Guarino, APRN
- Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1083727713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2909122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304264200 | Medicaid | FL |
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2909122 | FL | MD | Nurse Practitioner |
| 2909122 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Empath Health Pharmaceuticals
- Community/Retail Pharmacy
- Largo, FL
- NPI 1407257470
-
- Community Based Hospice Care Agency
- Palm Harbor, FL
- NPI 1124028204
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.