NPIMap

Individual provider Active NPI

Zaily Guzman

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1669205241
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034906 Issued in FL
Practice address
1701 SE Hillmoor Dr Ste 7
Port Saint Lucie, FL 34952-7552
Phone
(772) 480-5860
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 APRN11034906 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr Ste 7
Port Saint Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr Ste 7
Port Saint Lucie, FL 34952-7552
Phone (772) 480-5860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004833 FL Practitioner - Nurse Practitioner 9931649910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kure Mobile Medical LLCGroup PAC ID 1951780808, 6 clinicians

Practice addresses (Care Compare)

157 Seashore Dr
Jupiter, FL 33477-9687
Phone (561) 677-9658

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11034906FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kure Mobile Medical Family CurrentSince Jan 31, 2025 Accepting new patients
Certified Wound Specialist NP CurrentSince Aug 17, 2025 Accepting new patients
Sharon Vitale PA CurrentSince Aug 26, 2024 Accepting new patients
Primary Care Solutions & More LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEGCD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1669205241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 7",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-480-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 7",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-480-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ZAILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.