Individual provider Active NPI

Jessica Guerrero Elizarde, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1578383147
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10240163 Issued in FL
Practice address
9871 SW 48TH St
Miami, FL 33165-6303
Phone
(786) 712-2202
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10240163 FL Primary

Addresses

Primary practice location

9871 SW 48TH St
Miami, FL 33165-6303

Mailing address

9871 SW 48TH St
Miami, FL 33165-6303
Phone (786) 712-2202

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114000861 FL Practitioner - Nurse Practitioner 0446788764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10240163FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jguerreroelizarde170595@direct.med.miami.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1578383147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9871 SW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656303",
            "telephone_number": "786-712-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9871 SW 48TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656303",
            "telephone_number": "786-712-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO ELIZARDE",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10240163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.