Individual provider Active NPI

Giselle Caridad Tamayo, APRN, NP-C, RN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1376195826
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11003212 Issued in FL
Practice address
11460 SW 204TH St
Miami, FL 33189-1047
Phone
(305) 962-2770
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11003212 FL Primary

Addresses

Primary practice location

11460 SW 204TH St
Miami, FL 33189-1047

Mailing address

11460 SW 204TH St
Miami, FL 33189-1047
Phone (305) 962-2770

Other practice location 1

20601 Old Cutler Rd
Cutler Bay, FL 33189-2441
Phone (305) 282-1071

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
11003212FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1376195826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11460 SW 204TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331891047",
            "telephone_number": "305-962-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 SW 204TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331891047",
            "telephone_number": "305-962-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20601 Old Cutler Rd",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331892441",
            "country_code": "US",
            "telephone_number": "305-282-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "GISELLE",
        "middle_name": "CARIDAD",
        "credential": "APRN, NP-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.