Individual provider Active NPI

Tkela Gudes

  • Home Health Aide
  • Brandon, FL
National Provider Identifier
1497407464
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1788 Lakeview Village Dr
Brandon, FL 33510-2029
Phone
(813) 841-7240
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X
Nurse's Aide 376K00000X
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

1788 Lakeview Village Dr
Brandon, FL 33510-2029

Mailing address

1788 Lakeview Village Dr
Brandon, FL 33510-2029
Phone (813) 841-7240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gudescareandassistance@outlook.com

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

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1497407464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 LAKEVIEW VILLAGE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102029",
            "telephone_number": "813-841-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 LAKEVIEW VILLAGE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102029",
            "telephone_number": "813-841-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDES",
        "first_name": "TKELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gudescareandassistance@outlook.com",
            "affiliation": "N",
            "address_1": "10252 Lake District Ln",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328325888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.