Active NPI
Jasmin Camelia Guillen, ATC, LAT
- Athletic Trainer
- Saint Petersburg, FL
National Provider Identifier
1457538613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL2419
- Practice address
- 4200 54TH Ave S
Athletics
Saint Petersburg, FL 33711-4744 - Phone
- (727) 864-7831
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL2419 | FL | Primary |
Addresses
Primary practice location
4200 54TH Ave S
Athletics
Saint Petersburg, FL 33711-4744
Mailing address
4200 54TH Ave S
Athletics
Saint Petersburg, FL 33711-4744
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
| License | State | Type | Specialty |
|---|---|---|---|
| AL2419 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1457538613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 54TH AVE S",
"address_2": "ATHLETICS",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337114744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 54TH AVE S",
"address_2": "ATHLETICS",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337114744",
"telephone_number": "727-864-7831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLEN",
"first_name": "JASMIN",
"middle_name": "CAMELIA",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL2419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.