Individual provider Active NPI

Elaine Josefa Guimbarda Cuellar, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1396136768
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11022568 Issued in FL
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

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230000534 FL Practitioner - Nurse Practitioner 8527423854 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RN9444757FLMDRegistered Nurse
11022568FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gisela Garcia- Leyva MD PA PastSince Nov 12, 2023 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.

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

Verify at the official NPI Registry.