Individual provider Active NPI

Nicole Guerra, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1124809272
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029112 Issued in FL
Practice address
11820 SW 112TH Avenue Cir
Miami, FL 33176-3955
Phone
(786) 343-5736
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11029112 FL Primary

Addresses

Primary practice location

11820 SW 112TH Avenue Cir
Miami, FL 33176-3955

Mailing address

11820 SW 112TH Avenue Cir
Miami, FL 33176-3955
Phone (786) 343-5736

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529000891 FL Practitioner - Nurse Practitioner 9931679065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11820 SW 112TH Ave Cir
Miami, FL 33176-3955

999 Brickell Ave
Suite 920
Miami, FL 33131-3217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11029112FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shaker Hamadiya MD Past Accepting new patients

Organizations & group practices 1

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1124809272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 SW 112TH AVENUE CIR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763955",
            "telephone_number": "786-343-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 SW 112TH AVENUE CIR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763955",
            "telephone_number": "786-343-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.