Temple Grace Sarzaba Decena, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LX0384 Issued in GU

Practice address

548 S Marine Corps Dr
Tamuning, GU 96913-3539

Phone

(671) 646-5825

Fax

(671) 649-8083

NPI assigned

Jan 22, 2020

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1124658711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6578",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969316578",
            "telephone_number": "671-646-5825",
            "fax_number": "671-649-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133539",
            "telephone_number": "671-646-5825",
            "fax_number": "671-649-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECENA",
        "first_name": "TEMPLE GRACE",
        "middle_name": "SARZABA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GU",
            "license": "LX0384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kisha Charizze Oasay De Joya, RN
• MC Jason Frias De Luna, LPC-178
• Daniel Edward Debardeleben, MD
• Tearsa Debardeleben, RD, LD
• Marjorie Fricke Debenedictis, MD
• Amanda Del Rosario, M.D.
• Rema S. Delfino, RN
• Jonei Delgado, MS, RDN
• Beverly Grace Delos Reyes, M.A., L.P.C.
• Joseleo R. Delos Reyes, PTA

• Licensed Practical Nurse in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Licensed Practical Nurse in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.