Individual provider Active NPI

Guillermo Buenaventura Gonzalez Lemes

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1851879175
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9414641 Issued in FL
Practice address
7820 N Armenia Ave Ste C
Tampa, FL 33604-3852
Phone
(954) 514-9360
NPI assigned
Jul 30, 2018
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 9414641 FL Primary

Addresses

Primary practice location

7820 N Armenia Ave Ste C
Tampa, FL 33604-3852

Mailing address

5246 Robbie CT
West Palm Beach, FL 33415-9108
Phone (561) 729-1148

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
I20200129002714 FL Practitioner - Nurse Practitioner 0840626438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Medical Centers CorpGroup PAC ID 4981933785, 3 clinicians

Practice addresses (Care Compare)

3645 W Waters Ave
Tampa, FL 33614-2783
Phone (813) 462-2595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9414641FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Medical Centers Corp Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Physicians for Care LLC Single Specialty Past Accepting new patients

Locations

3645 W Waters Ave
Tampa, FL 33614
Phone (813) 462-2595

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: guillermo.gonzalez.1@19420.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19420/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1851879175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 ROBBIE CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159108",
            "telephone_number": "561-729-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 N ARMENIA AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336043852",
            "telephone_number": "954-514-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LEMES",
        "first_name": "GUILLERMO",
        "middle_name": "BUENAVENTURA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9414641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.