Individual provider Active NPI

Joshua Guadalupe, CNA

  • Nurse's Aide
  • Lake Worth, FL
National Provider Identifier
1134734692
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
393262 Issued in FL
Practice address
4575 Lucerne Lakes Blvd W Apt 106
Lake Worth, FL 33467-8818
Phone
(561) 420-2437
NPI assigned
Sep 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 393262 FL Primary

Addresses

Primary practice location

4575 Lucerne Lakes Blvd W Apt 106
Lake Worth, FL 33467-8818

Mailing address

4575 Lucerne Lakes Blvd W Apt 106
Lake Worth, FL 33467-8818
Phone (561) 420-2437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
393262FLMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Angel Med, LLC CurrentSince Oct 4, 2020 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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1134734692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 LUCERNE LAKES BLVD W APT 106",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678818",
            "telephone_number": "561-420-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 LUCERNE LAKES BLVD W APT 106",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678818",
            "telephone_number": "561-420-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE",
        "first_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "393262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.