Guedry Edouard, NP-C

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

ARNP11031228 Issued in FL

Practice address

15407 Ibis Fall PL
Sun City Center, FL 33573-6782

Phone

(239) 692-1157

NPI assigned

Feb 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Florida Trauma Network, LLCGroup PAC ID 7911175658, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• West Florida Trauma Network, LLC

  • Trauma Surgery Physician
  • Bradenton, FL
  • NPI 1902198948
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Cardiometabolic Primary Care, LLC

  • Primary Care Nurse Practitioner
  • Sun City Center, FL
  • NPI 1780513697
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  dba HCA Florida Blake Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1174387724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15407 IBIS FALL PL",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736782",
            "telephone_number": "239-692-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15407 IBIS FALL PL",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736782",
            "telephone_number": "239-692-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "GUEDRY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031228",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "ARNP11031228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ducko, PHARMD, RPH
• Tara Jo Duquette, PA-C
• Jonathan Dychko
• Linda K Eargle, PT, DPT
• Alyson Eck, APRN
• Edward J Huggett Jr OD PA (Huggett Vision Therapy Institute)
• Entrevest LLC (Comfort Keepers)
• Katlyn Rylee Ernst, OTR/L
• Alma Delia Espinosa, ARNP
• Este Logic, P.a.

• Critical Care Medicine Nurse Practitioner in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Critical Care Medicine Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.

Verify at the official NPI Registry.