Active NPI
Ernesto Guevara, NP
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11006442
- Practice address
- 1469 NW 36TH St
Miami, FL 33142-5557 - Phone
- (305) 635-7444
- NPI assigned
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11006442 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11006442 | FL | Primary |
Addresses
Primary practice location
1469 NW 36TH St
Miami, FL 33142-5557
Mailing address
14113 SW 161St CT
Miami, FL 33196-6543
Phone (786) 366-2050
Other practice location 1
7171 SW 62nd Ave
South Miami, FL 33143-4723
Phone (786) 366-2050
Other practice location 2
4180 SW 74th Ct
Miami, FL 33155-4443
Phone (786) 355-2050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1469 NW 36TH St
Miami, FL 33142-5557
Phone (305) 635-0366
4005 NW 114TH Ave
Unit 22
Doral, FL 33178-4373
Phone (305) 260-6913
Hospital & facility affiliations
- Ace Home Health Services Corp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Care Florida LLC | Family | Current | Accepting new patients |
| New Horizons Community Mental Health Center, Inc | Current | Accepting new patients | |
| BG Health Group LLC | Current | Accepting new patients | |
| BG Doral Care Nurse Registry Corp | Past | Accepting new patients |
Locations
4005 NW 114th Ave
Unit 22
Doral, FL 33178
Phone (305) 260-6913
4005 NW 114th Ave
Unit 22A
Doral, FL 33178
Phone (305) 260-6913
4005 NW 114th Ave
Doral, FL 33178
Phone (754) 828-6161
1469 NW 36th St
Miami, FL 33142
Phone (305) 635-0366
7171 SW 62nd Ave
South Miami, FL 33143
Phone (305) 270-5305
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Doral, FL
- NPI 1184449340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1952360620
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1568239622
-
- In Home Supportive Care Agency
- Doral, FL
- NPI 1952231227
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sweetwater, FL
- NPI 1952444853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1093342818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14113 SW 161ST CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331966543",
"telephone_number": "786-366-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1469 NW 36TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331425557",
"telephone_number": "305-635-7444"
}
],
"practiceLocations": [
{
"address_1": "7171 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331434723",
"country_code": "US",
"telephone_number": "786-366-2050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4180 SW 74th Ct",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331554443",
"country_code": "US",
"telephone_number": "786-355-2050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEVARA",
"first_name": "ERNESTO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11006442",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11006442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.