Individual provider Active NPI

Guerline Saintfleur

  • Family Nurse Practitioner
  • Lakeside, AZ
National Provider Identifier
1184209579
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9430894 Issued in FL
Practice address
20 E White Mountain Blvd Ste A5294
Lakeside, AZ 85929-6807
Phone
(954) 822-8219
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 9430894 FL Primary

Addresses

Primary practice location

20 E White Mountain Blvd Ste A5294
Lakeside, AZ 85929-6807

Mailing address

20 E White Mountain Blvd Ste A5294
Lakeside, AZ 85929-6807
Phone (954) 822-8219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220601002748 FL Practitioner - Nurse Practitioner 8527446624
I20220920003350 TX Practitioner - Nurse Practitioner 8527446624 Reassigns benefits to 1 organization
I20260428001515 AZ Practitioner - Nurse Practitioner 8527446624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Rio Vista Estates
Lot 24
Sanders, AZ 86512-0489
Phone (928) 688-3903

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9430894FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Jun 9, 2022 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jun 9, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: guerline.saintfleur.1@4371.direct.athenahealth.com

Organizations & group practices 3

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1184209579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E WHITE MOUNTAIN BLVD STE A5294",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296807",
            "telephone_number": "954-822-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E WHITE MOUNTAIN BLVD STE A5294",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859296807",
            "telephone_number": "954-822-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINTFLEUR",
        "first_name": "GUERLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9430894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, AZ

Sources for this page

Verify at the official NPI Registry.