Individual provider Active NPI

Cheryl Guyan

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1174905020
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9332284 Issued in FL
Practice address
150 W University Blvd
Melbourne, FL 32901-8995
Phone
(321) 674-8078
Fax
(321) 725-5967
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9332284 FL
Family Nurse Practitioner 363LF0000X ARNP 9332284 FL Primary

Addresses

Primary practice location

150 W University Blvd
Melbourne, FL 32901-8995

Mailing address

150 W University Blvd
Melbourne, FL 32901-8995
Phone (321) 674-8078

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
RN9332284FLMDRegistered Nurse
ARNP 9332284FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Abraham MD PA 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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1174905020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W UNIVERSITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018995",
            "telephone_number": "321-674-8078",
            "fax_number": "321-725-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W UNIVERSITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018995",
            "telephone_number": "321-674-8078",
            "fax_number": "321-725-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYAN",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9332284",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9332284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.