Individual provider Active NPI

Yamilet Oliver Guerra, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1699256453
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9410570 Issued in FL
Practice address
13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334
Phone
(786) 478-6369
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07181219 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9410570 FL Primary

Addresses

Primary practice location

13205 SW 137TH Ave Ste 132
Miami, FL 33186-5334

Mailing address

308 NW 5TH Ave
Okeechobee, FL 34972-2568
Phone (863) 261-8354

Other practice location 1

15821 SW 106th Ave
Miami, FL 33157-1512
Phone (305) 479-6538

Other identifiers 1

IdentifierTypeStateIssuer
F07181219MedicaidFL

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
I20210125000105 FL Practitioner - Nurse Practitioner 4880008366 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regions Praxis Care CorpGroup PAC ID 9335549294, 2 clinicians

Practice addresses (Care Compare)

13205 SW 137TH Ave
Suite 132
Miami, FL 33186-5334
Phone (305) 479-6538

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07181219FLMDFamily Nurse Practitioner
APRN9410570FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Haven LLC CurrentSince Mar 1, 2021 Accepting new patients
Florida Personal Management LLC CurrentSince Sep 3, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 25, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

13155 SW 134th St
Ste 202
Miami, FL 33186
Phone (786) 471-1929

22133 S Dixie Hwy
Miami, FL 33170
Phone (786) 504-3119

22129 S Dixie Hwy
Miami, FL 33170
Phone (305) 859-3401

308 NW 5th Ave
Okeechobee, FL 34972
Phone (516) 640-6937

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.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1699256453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NW 5TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722568",
            "telephone_number": "863-261-8354",
            "fax_number": "786-221-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE STE 132",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865334",
            "telephone_number": "786-478-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15821 SW 106th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331571512",
            "country_code": "US",
            "telephone_number": "305-479-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER GUERRA",
        "first_name": "YAMILET",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F07181219",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9410570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F07181219",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.