Individual provider Active NPI

Jasmin R Guillen

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1164075966
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP142289 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-2111
NPI assigned
Jul 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP142289 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jguillen528991@direct.sw.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815000492 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577890441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1301 Wonder World Dr
Christus Santa Rosa San Marcos
San Marcos, TX 78666-7533
Phone (512) 753-3525

5330 N Loop 1604
San Antonio, TX 78249-4383
Phone (469) 863-9978

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 303-0104

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Anesthesiology CurrentSince Oct 24, 2022 Accepting new patients
Endo Sedation LLC Anesthesiology CurrentSince Oct 24, 2022 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Nov 18, 2022 Accepting new patients
Endo Sedation LLC Anesthesiology Current Accepting new patients

Locations (25 of 33)

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2116 Babcock Rd
San Antonio, TX 78229
Phone (210) 202-0288

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

9618 Huebner Rd
Ste 111
San Antonio, TX 78240
Phone (210) 942-0999

710 Knights Cross Dr
San Antonio, TX 78258
Phone (210) 934-5471

19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

1927 Rogers Rd
San Antonio, TX 78251
Phone (205) 263-7863

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

9522 Huebner Rd
San Antonio, TX 78240
Phone (210) 478-5390

403 Treeline Park
Bldg 1
San Antonio, TX 78209
Phone (210) 294-8000

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1164075966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "JASMIN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-20",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP142289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jguillen528991@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.