Individual provider Active NPI

Guernica Jean Jacques, CNA

  • Nurse's Aide
  • Royal Palm Beach, FL
National Provider Identifier
1942847751
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA250791 Issued in FL
Practice address
140 Bilbao St
Royal Palm Beach, FL 33411-1342
Phone
(561) 513-2086
NPI assigned
Dec 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X
Home Health Aide 374U00000X CNA250791 FL
Homemaker 376J00000X
Respite Care 385H00000X
Nurse's Aide 376K00000X CNA250791 FL Primary

Addresses

Primary practice location

140 Bilbao St
Royal Palm Beach, FL 33411-1342

Mailing address

3486 Briar Bay Blvd Apt 206
West Palm Beach, FL 33411-7405
Phone (561) 598-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CNA250791FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1942847751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3486 BRIAR BAY BLVD APT 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334117405",
            "telephone_number": "561-598-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BILBAO ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111342",
            "telephone_number": "561-513-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN JACQUES",
        "first_name": "GUERNICA",
        "name_prefix": "Miss",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA250791",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA250791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.