Individual provider Active NPI

Nadege Guillaume, LPN

  • Licensed Practical Nurse
  • Miramar, FL
National Provider Identifier
1285495192
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN1192781 Issued in FL
Practice address
6644 Emerald Lake Dr
Miramar, FL 33023-4916
Phone
(954) 292-9529
Fax
(954) 919-9051
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN1192781 FL Primary

Addresses

Primary practice location

6644 Emerald Lake Dr
Miramar, FL 33023-4916

Mailing address

6644 Emerald Lake Dr
Miramar, FL 33023-4916
Phone (954) 292-9529

Other names 1

  • Ms. Nadege Guillaume-Todd Other name

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
PN1192781FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1285495192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6644 EMERALD LAKE DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234916",
            "telephone_number": "954-292-9529",
            "fax_number": "954-919-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 EMERALD LAKE DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330234916",
            "telephone_number": "954-292-9529",
            "fax_number": "954-919-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUME",
        "first_name": "NADEGE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN1192781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEGE",
            "last_name": "GUILLAUME-TODD",
            "prefix": "MS.",
            "credential": "PRES MED PRO HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.