Active NPI
Shakira M Rios Guerrero
- Social Worker
- Saint Cloud, FL
National Provider Identifier
1619629037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14099
- Practice address
- 5315 Timberland Ave
Saint Cloud, FL 34771-0110 - Phone
- (773) 627-8297
- NPI assigned
- Jan 26, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 14099 | PR | Primary |
Addresses
Primary practice location
5315 Timberland Ave
Saint Cloud, FL 34771-0110
Mailing address
5315 Timberland Ave
Saint Cloud, FL 34771-0110
Phone (773) 627-8297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14099 | Other | PR | SOCIAL WORK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | PersonalComputer | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14099 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1619629037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 TIMBERLAND AVE",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347710110",
"telephone_number": "773-627-8297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 TIMBERLAND AVE",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347710110",
"telephone_number": "773-627-8297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS GUERRERO",
"first_name": "SHAKIRA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "14099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK",
"identifier": "14099",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "PersonalComputer",
"affiliation": "N",
"endpointDescription": "HpLaptop",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Therapist",
"address_1": "5315 Timberland Ave",
"city": "Saint Cloud",
"state": "FL",
"country_code": "US",
"postal_code": "347710110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.