Individual provider Active NPI

Kathryn Anne Guardado, NP

  • Family Nurse Practitioner
  • Azle, TX
National Provider Identifier
1124591029
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139487 Issued in TX
Practice address
141 Industrial Ave
Azle, TX 76020-2901
Phone
(817) 444-3231
Fax
(817) 444-3234
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139487 TX Primary

Addresses

Primary practice location

141 Industrial Ave
Azle, TX 76020-2901

Mailing address

141 Industrial Ave
Azle, TX 76020-2901
Phone (817) 444-3231

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kguardado54987@Direct.Texashealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190128001144 TX Practitioner - Nurse Practitioner 2466799515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Country Family Medicine PAGroup PAC ID 2769515568, 3 clinicians

Practice addresses (Care Compare)

8465 Boat Club Rd
Suite 115
Fort Worth, TX 76179-3676
Phone (817) 260-0535

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Nov 1, 2021 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Texas Health Urgent Care CurrentSince Nov 1, 2021 Accepting new patients

Locations

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

5252 Golden Triangle Blvd
Ste 500
Fort Worth, TX 76244
Phone (682) 212-9134

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAGCA/Endpoint/IGAGCA
  • Direct secure messaging: kguardado54987@direct.texashealth.org

Organizations & group practices 5

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1124591029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 INDUSTRIAL AVE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202901",
            "telephone_number": "817-444-3231",
            "fax_number": "817-444-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 INDUSTRIAL AVE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202901",
            "telephone_number": "817-444-3231",
            "fax_number": "817-444-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDADO",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kguardado54987@Direct.Texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5252 Golden Triangle Blvd Ste 500",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762443202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.