Active NPI
Elaine Josefa Guimbarda Cuellar, FNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1396136768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11022568
- Practice address
- 11961 N Florida Ave Ste a
Tampa, FL 33612-5213 - Phone
- (813) 931-0333
- Fax
- (813) 354-2490
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9444757 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11022568 | FL | |
| Social Worker | 104100000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11022568 | FL | Primary |
Addresses
Primary practice location
11961 N Florida Ave Ste a
Tampa, FL 33612-5213
Mailing address
4910 Holiday Dr
Tampa, FL 33615-4720
Phone (786) 879-4216
Other practice location 1
4910 Holiday Dr
Tampa, FL 33615-4720
Phone (786) 879-4216 ext. 78687
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11961 N Florida Ave
Suite a
Tampa, FL 33612-5213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9444757 | FL | MD | Registered Nurse |
| 11022568 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gisela Garcia- Leyva MD PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
- NPI 1417666538
-
- Psychiatry Physician
- St Petersburg, FL
- NPI 1972647634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1396136768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 HOLIDAY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154720",
"telephone_number": "786-879-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11961 N FLORIDA AVE STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336125213",
"telephone_number": "813-931-0333",
"fax_number": "813-354-2490"
}
],
"practiceLocations": [
{
"address_1": "4910 Holiday Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336154720",
"country_code": "US",
"telephone_number": "786-879-4216 x78687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUIMBARDA CUELLAR",
"first_name": "ELAINE",
"middle_name": "JOSEFA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9444757",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11022568",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11022568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.