Active NPI
Elcire Guillot
- Family Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1235738444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11009747
- Practice address
- 5771 Roosevelt Blvd
Clearwater, FL 33760-3407 - Phone
- (727) 415-8745
- Fax
- (727) 523-2145
- NPI assigned
- Oct 19, 2020
- Last updated
- Oct 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11009747 | FL | Primary |
Addresses
Primary practice location
5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Mailing address
PO Box 15914
Tampa, FL 33684-5914
Phone (407) 764-3992
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208004677 | FL | Order and Referring Only - Nurse Practitioner | 7911316658 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- ms_eguillot@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1235738444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15914",
"city": "TAMPA",
"state": "FL",
"postal_code": "336845914",
"telephone_number": "407-764-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5771 ROOSEVELT BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603407",
"telephone_number": "727-415-8745",
"fax_number": "727-523-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLOT",
"first_name": "ELCIRE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11009747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.