Individual provider Active NPI

Murielle Guillaume

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1760182000
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021113 Issued in FL
Practice address
2033 SW Fears Ave
Port Saint Lucie, FL 34953-4517
Phone
(772) 267-4149
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11021113 FL Primary

Addresses

Primary practice location

2033 SW Fears Ave
Port Saint Lucie, FL 34953-4517

Mailing address

2033 SW Fears Ave
Port Saint Lucie, FL 34953-4517
Phone (772) 267-4149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240422000444 CA Practitioner - Nurse Practitioner 9335588524 Reassigns benefits to 1 organization
I20250210000516 FL Practitioner - Nurse Practitioner 9335588524 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021113FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Integrated Medicine PC Single Specialty CurrentSince Feb 7, 2024 Accepting new patients
American Care of South Florida, Inc. Single Specialty CurrentSince Jan 27, 2025 Accepting new patients
American Care of South Florida, Inc. Single Specialty Current Accepting new patients
American Care of South Florida, Inc Single Specialty CurrentSince Jan 27, 2025 Accepting new patients
Eade Chiropractic, Inc. Single Specialty Past Accepting new patients
American Care of North Florida, Inc Single Specialty Past Accepting new patients

Locations

575 Lincoln Ave
Ste 225
Napa, CA 94558
Phone (707) 255-6888

2211 Okeechobee Rd
Fort Pierce, FL 34950
Phone (772) 230-5366

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

6200 Pembroke Rd
Miramar, FL 33023
Phone (954) 961-7100

Organizations & group practices 6

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1760182000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 SW FEARS AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534517",
            "telephone_number": "772-267-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 SW FEARS AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534517",
            "telephone_number": "772-267-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUME",
        "first_name": "MURIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.