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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11028077FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Gastroenterology Associates LLC Gastroenterology Past
since Jul 10, 2024
Accepting new patients

Interoperability endpoints

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2024.

{
    "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": []
}

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Sources for this page

Verify at the official NPI Registry.