Yarisbel Gutierrez, APRN
Individual provider Active NPI Nurse Practitioner · Tampa, FL
NPI 1689458580 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1689458580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 11028077 (FL)
- Practice address
- 5471 W Waters Ave Ste 300
Tampa, FL 33634-1253 - Phone
- (813) 328-4120
- Fax
- (813) 328-4003
- NPI assigned
- Aug 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11028077 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Gastroenterology Associates LLC | Gastroenterology | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEACDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11028077 | FL | Yes |
Addresses
Primary practice location
5471 W Waters Ave Ste 300
Tampa, FL 33634-1253
Mailing address
5471 W Waters Ave Ste 300
Tampa, FL 33634-1253
Phone (813) 328-4120
NPI Registry JSON
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1689458580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5471 W WATERS AVE STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341253",
"telephone_number": "813-328-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5471 W WATERS AVE STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341253",
"telephone_number": "813-328-4120",
"fax_number": "813-328-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "YARISBEL",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11028077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.