Individual provider Active NPI

Andrew Guro, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1194506881
Registry record updated Feb 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11029066 Issued in FL
Practice address
3580 Mystic Pointe Dr Ste 109
Aventura, FL 33180-2554
Phone
(305) 330-1775
Fax
(305) 391-4496
NPI assigned
Oct 10, 2023
Last updated
Feb 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11029066 FL Primary

Addresses

Primary practice location

3580 Mystic Pointe Dr Ste 109
Aventura, FL 33180-2554

Mailing address

3580 Mystic Pointe Dr Ste 109
Aventura, FL 33180-2554
Phone (305) 330-1775

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
11029066FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soothe Psychiatry LLC Psychiatric/Mental Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

3580 Mystic Pointe Dr
Ste 109
Aventura, FL 33180
Phone (305) 330-1775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1194506881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 MYSTIC POINTE DR STE 109",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802554",
            "telephone_number": "305-330-1775",
            "fax_number": "305-391-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 MYSTIC POINTE DR STE 109",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802554",
            "telephone_number": "305-330-1775",
            "fax_number": "305-391-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURO",
        "first_name": "ANDREW",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11029066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; 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.