Active NPI
Guillermo Buenaventura Gonzalez Lemes
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9414641
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9414641 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Medical Centers Corp | Single Specialty | Current | 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
- guillermo.gonzalez.1@19420.direct.athenahealth.com
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.