Organization Active NPI

Glory Guerrero Arnp, LLC

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1518138122
Registry record updated Mar 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ARNP9202595 Issued in FL
Legal business name
GLORY GUERRERO ARNP, LLC
Practice address
2277 SE Lennard Rd
Port St Lucie, FL 34952-6889
Phone
(772) 342-5096
NPI assigned
Mar 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2008

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

Authorized official

Name
Glory Ivelisse Guerrero, ARNPNPI 1427032028
Title
Nurse Practitioner
Phone
(772) 342-5096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ARNP9202595 FL Primary

Addresses

Primary practice location

2277 SE Lennard Rd
Port St Lucie, FL 34952-6889

Mailing address

2272 SE Lucaya St
Port St Lucie, FL 34952-6820
Phone (772) 342-5096

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206144000000",
    "number": "1518138122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 SE LUCAYA ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526820",
            "telephone_number": "772-342-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 SE LENNARD RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526889",
            "telephone_number": "772-342-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY GUERRERO ARNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-22",
        "last_updated": "2008-03-22",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "GLORY",
        "authorized_official_middle_name": "IVELISSE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "772-342-5096",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "ARNP9202595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.