Individual provider Active NPI

Carmen Alicia Guancha Guerrero

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1164045936
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
7040 Laredo St Ste E
Las Vegas, NV 89117-3044
Phone
(702) 834-6560
Fax
(702) 834-8494
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

7040 Laredo St Ste E
Las Vegas, NV 89117-3044

Mailing address

7040 Laredo St Ste E
Las Vegas, NV 89117-3044
Phone (702) 834-6560

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1164045936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAREDO ST STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173044",
            "telephone_number": "702-834-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAREDO ST STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173044",
            "telephone_number": "702-834-6560",
            "fax_number": "702-834-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUANCHA GUERRERO",
        "first_name": "CARMEN",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.