Individual provider Active NPI

Thalia Boreland Guare

  • Family Nurse Practitioner
  • Winter Garden, FL
National Provider Identifier
1770051195
Registry record updated Nov 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9303239 Issued in FL
Practice address
518 Dharma Cir
Winter Garden, FL 34787-4366
Phone
(407) 401-2143
NPI assigned
Nov 3, 2018
Last updated
Nov 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2018

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 APRN9303239 FL Primary

Addresses

Primary practice location

518 Dharma Cir
Winter Garden, FL 34787-4366

Mailing address

518 Dharma Cir
Winter Garden, FL 34787-4366
Phone (407) 401-2143

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
I20250402002565 FL Practitioner - Nurse Practitioner 9032632732 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health House Calls Family CurrentSince Jan 26, 2025 Accepting new patients
Advanced Health Urgent Care, LLC CurrentSince Sep 28, 2025 Accepting new patients

Locations

736 S Dillard St
Ste 2
Winter Garden, FL 34787
Phone (407) 614-4866

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541203200000",
    "number": "1770051195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 DHARMA CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874366",
            "telephone_number": "407-401-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 DHARMA CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874366",
            "telephone_number": "407-401-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARE",
        "first_name": "THALIA",
        "middle_name": "BORELAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-03",
        "last_updated": "2018-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9303239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.