Active NPI
Maria Fernanda Guzman, RDN, LD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1114652153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT87691
- Practice address
- 1101 Camino la Costa
Austin, TX 78752-3930 - Phone
- (512) 478-4939
- NPI assigned
- Jul 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT87691 | TX | Primary |
Addresses
Primary practice location
1101 Camino la Costa
Austin, TX 78752-3930
Mailing address
14120 James Garfield St
Manor, TX 78653-4129
Phone (956) 465-7531
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT87691 | Other | TX | LICENSED DIETITIAN- TDLR |
| 86297630 | Other | COMMISSION ON DIETETIC REGISTRATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT87691 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1114652153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14120 JAMES GARFIELD ST",
"city": "MANOR",
"state": "TX",
"postal_code": "786534129",
"telephone_number": "956-465-7531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CAMINO LA COSTA",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523930",
"telephone_number": "512-478-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "MARIA",
"middle_name": "FERNANDA",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT87691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN- TDLR",
"identifier": "DT87691",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86297630",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.