Individual provider Active NPI

Lorena Guerrero, FNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1104927409
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60283194 Issued in WA
Practice address
1720 E 67TH St Ste 119
Tacoma, WA 98404-4223
Phone
(253) 212-0202
Fax
(253) 212-0962
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60283194 WA
Nurse Practitioner 363L00000X 601037 TX
Family Nurse Practitioner 363LF0000X AP60283194 WA Primary

Addresses

Primary practice location

1720 E 67TH St Ste 119
Tacoma, WA 98404-4223

Mailing address

1720 E 67TH St Ste 119
Tacoma, WA 98404-4223
Phone (253) 212-0202

Other identifiers 5

IdentifierTypeStateIssuer
165561501MedicaidWA
94393OtherTXCARELINK
165561501MedicaidTX
2086163MedicaidWA
8N5077OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20130503000052 WA Practitioner - Nurse Practitioner 0143205013 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Roots Community Health CurrentSince Sep 1, 2024 Accepting new patients
Seattle Roots Community Health Current Accepting new patients
Multicare Health System CurrentSince Jun 6, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Seattle Roots Community Health CurrentSince Sep 1, 2024 Accepting new patients
Anne Horsley Advanced Practice Registered Nurse PLLC Family CurrentSince Apr 2, 2018 Accepting new patients
Multicare Health System CurrentSince Jun 6, 2022 Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients
El Centro del Barrio, Inc. PastSince Oct 27, 2019 Accepting new patients
Seattle Roots Community Health Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

2410 E Cherry St
Seattle, WA 98122
Phone (206) 299-1900

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

1720 E 67th St
Ste 119
Tacoma, WA 98404
Phone (253) 212-0202

Interoperability endpoints

  • Direct secure messaging: lguerrero113685@direct.multicare.org

Organizations & group practices 10

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1104927409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E 67TH ST STE 119",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984044223",
            "telephone_number": "253-212-0202",
            "fax_number": "253-212-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E 67TH ST STE 119",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984044223",
            "telephone_number": "253-212-0202",
            "fax_number": "253-212-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "LORENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60283194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "601037",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60283194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165561501",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "94393",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165561501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086163",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N5077",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.