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
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: 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
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

  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Absolute Home Care, Inc. Home health agency, Fort Lauderdale, FL, CCN 108107
  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

Practice roles

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

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.