Individual provider Active NPI

Melissa Guzman, NP

  • Licensed Practical Nurse
  • San Antonio, TX
National Provider Identifier
1104299528
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
827364 Issued in TX
Practice address
Wellmed at SW Military
517 SW Military Dr Ste a
San Antonio, TX 78221
Phone
(210) 921-0322
Fax
(210) 921-1451
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 827364 TX Primary

Addresses

Primary practice location

Wellmed at SW Military
517 SW Military Dr Ste a
San Antonio, TX 78221

Mailing address

Wellmed at SW Military
517 SW Military Dr Ste a
San Antonio, TX 78221
Phone (210) 921-0322

Other identifiers 1

IdentifierTypeStateIssuer
827364OtherTXTEXAS BOARD OF NURSING

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
827364TXMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1104299528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WELLMED AT SW MILITARY",
            "address_2": "517 SW MILITARY DR STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78221",
            "telephone_number": "210-921-0322",
            "fax_number": "210-921-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WELLMED AT SW MILITARY",
            "address_2": "517 SW MILITARY DR STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78221",
            "telephone_number": "210-921-0322",
            "fax_number": "210-921-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "827364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "827364",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.