Active NPI
Liza Guillen, APRN
- Family Nurse Practitioner
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11016358
- Practice address
- 4301 S Flamingo Rd
Davie, FL 33330-1902 - Phone
- (954) 640-1200
- NPI assigned
- Oct 31, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11016358 | FL | Primary |
Addresses
Primary practice location
4301 S Flamingo Rd
Davie, FL 33330-1902
Mailing address
4301 S Flamingo Rd
Davie, FL 33330-1902
Other practice location 1
1751 Bonaventure Blvd
Weston, FL 33326-4039
Phone (954) 656-3181
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-2000
4301 S Flamingo Rd
Suite 102
Davie, FL 33330-1902
Phone (954) 640-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11016358 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet South Broward LLC | Family Medicine | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| Quick Family Urgentcare, LLC | Family Medicine | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| Inphynet Contracting Services LLC | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients |
Locations
4301 S Flamingo Rd
Davie, FL 33330
Phone (954) 312-3449
4301 S Flamingo Rd
Ste 102
Davie, FL 33330
Phone (954) 370-2135
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
801 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6500
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
1751 Bonaventure Blvd
Weston, FL 33326
Phone (954) 385-0014
Interoperability endpoints
- liza.guillen@478600780382212.direct.elationemr.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
Family Medicine
-
- Family Medicine Physician
- Davie, FL
- NPI 1992931018
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Internal Medicine Physician
- Miami, FL
- NPI 1912956566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1497419923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 S FLAMINGO RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333301902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 S FLAMINGO RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333301902",
"telephone_number": "954-640-1200"
}
],
"practiceLocations": [
{
"address_1": "1751 Bonaventure Blvd",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "FL",
"postal_code": "333264039",
"country_code": "US",
"telephone_number": "954-656-3181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUILLEN",
"first_name": "LIZA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-31",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11016358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.