Individual provider Active NPI

Shakira M Rios Guerrero

  • Social Worker
  • Saint Cloud, FL
National Provider Identifier
1619629037
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14099 Issued in PR
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

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14099OtherPRSOCIAL WORK

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
14099PRMDSocial 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.

Verify at the official NPI Registry.