Active NPI
Jesselle D Guzman
- Community Health Worker
- Sunland Park, NM
National Provider Identifier
1063295129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904 - Phone
- (575) 332-9086
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NM | ||
| Community Health Worker | 172V00000X | NM | Primary |
Addresses
Primary practice location
1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904
Mailing address
1580 Appaloosa Dr Ste C310
Sunland Park, NM 88063-8904
Phone (915) 408-5908
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1063295129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 APPALOOSA DR STE C310",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880638904",
"telephone_number": "915-408-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 APPALOOSA DR STE C310",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880638904",
"telephone_number": "575-332-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "JESSELLE",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunland Park, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.