Felicity Melodee Guajardo, APRN-AGCNS-BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

AP130273 Issued in TX

Practice address

19432 Davis Street
Lytle, TX 78052

Phone

(830) 709-9960

NPI assigned

Mar 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kands Healthcare LLC 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24630/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/6170/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/IICGCD/Endpoint/IICGCD
• FHIR API: https://fhir4.healow.com/fhir/r4/BCDBDD

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.

• K&S Healthcare, LLC

  • Internal Medicine Physician
  • Converse, TX
  • NPI 1336491315

  TX

  Medicare reassignment Care Compare group NPD
• Alamo Primary Care of Potranco PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1912601907

  TX

  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Texas, PLLC

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1801300322

  TX

  Medicare reassignment
• Heal Well Primary Care PC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1003518473
  NPD
• Inpatient Progressive Health of America, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1417321076
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1023470366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11539 BUFFALO HORN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452512",
            "telephone_number": "210-793-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19432 DAVIS STREET",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "78052",
            "telephone_number": "830-709-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "FELICITY",
        "middle_name": "MELODEE",
        "credential": "APRN-AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP130273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Gonzales
• Michelle Marie Gonzalez
• Arnold Jay Granato, LPC
• Donna Beck Granato, M.S.
• Jacqueline Grohman
• H-E-B, LP
• Glendon Saldivar Hack, MD
• Aashna Handa, D.D.S
• Cherie Ann Hanson, M.A., CCC-SLP
• Natalie Suzanne Hardage, SLP

• All providers in Lytle, TX
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.

Verify at the official NPI Registry.