Guilaine Destrat

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CL1242744 Issued in FL

Practice address

1313 E Fletcher Ave
Tampa, FL 33612-3629

Phone

(301) 266-7290

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1639627755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 W HILLSBOROUGH AVE",
            "address_2": "APT 1218",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141309",
            "telephone_number": "301-266-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123629",
            "telephone_number": "301-266-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTRAT",
        "first_name": "GUILAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "CL1242744",
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MD",
            "license": "428798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Desrosiers
• Megan Desrosiers, M.A., LMHC, CAP
• Sophie Dessureault, MD, PHD
• Natalie Rose Destefano, PT, DPT
• Destined for Change LLC
• Giovanna Destri
• Oleg V Desyatnikov, DO
• Brianna Detamore
• Michelle Deterding, CRNA
• Cristina Lyn Dethloff, RD, LD/N

• Prosthetics Case Management in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.