Ilse Johanna Guevara, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11200763 Issued in FL

Practice address

664 Bird Rd
Coral Gables, FL 33146-1350

Phone

(786) 312-9875

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1467056176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 BIRD RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461350",
            "telephone_number": "786-312-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 BIRD RD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461350",
            "telephone_number": "786-312-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "ILSE",
        "middle_name": "JOHANNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9421801",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010659",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11200763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoslaine Guerra
• Carlos Gustavo Guerrero
• Jorge A Guerrero, PA-C
• Lauren Guerrero
• Lucibel Guerrero
• Jesus Alberto Guevara, PHARMACIST INTERN
• Nubia Esperanza Guevara, PT
• Isamel Guevera, CBHT
• Yhovana D Guillaume, APRN
• Alexandria J Guillen, DPT

• Family Nurse Practitioner in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.