Organization Active NPI

NP Benise Gutierrez

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1093464257
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NP BENISE GUTIERREZ
Practice address
10144 Arbor Run Dr Unit 152
Tampa, FL 33647-3572
Phone
(813) 507-5083
Fax
(888) 727-0593
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Benise Artus, APRNNPI 1265827430
Title
Owner
Phone
(813) 507-5083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

10144 Arbor Run Dr Unit 152
Tampa, FL 33647-3572

Mailing address

10144 Arbor Run Dr Unit 152
Tampa, FL 33647-3572
Phone (813) 507-5083

Other identifiers 1

IdentifierTypeStateIssuer
G362-061-89-632-0MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Benise@medicalrcm.us

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: benise@medicalrcm.us

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1093464257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10144 ARBOR RUN DR UNIT 152",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473572",
            "telephone_number": "813-507-5083",
            "fax_number": "888-727-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10144 ARBOR RUN DR UNIT 152",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473572",
            "telephone_number": "813-507-5083",
            "fax_number": "888-727-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP BENISE GUTIERREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "ARTUS",
        "authorized_official_first_name": "BENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-507-5083",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G362-061-89-632-0",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Benise@medicalrcm.us",
            "affiliation": "N",
            "address_1": "10144 Arbor Run Dr Unit 152",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336473572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.