Individual provider Active NPI

Maria Rowena Medina De Guzman, RN

  • Home Health Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1083579338
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
859392 Issued in NV
Practice address
2626 S Rainbow Blvd Ste 102
Las Vegas, NV 89146-5191
Phone
(702) 845-7292
Fax
(702) 209-0970
NPI assigned
Dec 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 859392 NV Primary

Addresses

Primary practice location

2626 S Rainbow Blvd Ste 102
Las Vegas, NV 89146-5191

Mailing address

2626 S Rainbow Blvd Ste 102
Las Vegas, NV 89146-5191
Phone (702) 845-7292

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
859392NVMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Activate Home Health Care LLC CurrentSince Dec 21, 2025 Accepting new patients

Locations

2626 S Rainbow Blvd
Ste 102
Las Vegas, NV 89146
Phone (702) 845-7292

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1083579338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S RAINBOW BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465191",
            "telephone_number": "702-845-7292",
            "fax_number": "702-209-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S RAINBOW BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465191",
            "telephone_number": "702-845-7292",
            "fax_number": "702-209-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "MARIA ROWENA",
        "middle_name": "MEDINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NV",
            "license": "859392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.