Individual provider Active NPI

Angel Luis Guindo

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1295315083
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012288 Issued in FL
Practice address
1515 26TH Ave E
Bradenton, FL 34208-7707
Phone
(941) 708-8600
NPI assigned
Apr 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 APRN11012288 FL Primary

Addresses

Primary practice location

1515 26TH Ave E
Bradenton, FL 34208-7707

Mailing address

700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422001314 FL Practitioner - Nurse Practitioner 1850709361 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince May 10, 2021 Accepting new patients
MCR Health, Inc. CurrentSince May 10, 2021 Accepting new patients
MCR Health, Inc. Past Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

888 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8401

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

1609 6th Ave E
Bradenton, FL 34208
Phone (413) 481-1689

712 39th St W
Bradenton, FL 34205
Phone (941) 748-4602

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7007

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

6040 State Road 70 E
Bradenton, FL 34203
Phone (941) 316-8200

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

1515 26th Ave E
Bradenton, FL 34208
Phone (941) 708-7607

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • Direct secure messaging: angel.guindo.1@11352.direct.athenahealth.com

Organizations & group practices 4

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1295315083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 26TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342087707",
            "telephone_number": "941-708-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINDO",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.