Karyn Guajardo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17628 Issued in TX

Practice address

2200 Hickory St
Abilene, TX 79601-2345

Phone

(325) 670-1000

NPI assigned

Feb 14, 2024

Last updated

Feb 14, 2024By 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

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

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allan J. McCorkle, M.D.,P.a.

  dba Lone Star Psychiatric Services

  • Geriatric Psychiatry Physician
  • Lubbock, TX
  • NPI 1477719292
  Medicare reassignment

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1174388656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012345",
            "telephone_number": "832-585-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012345",
            "telephone_number": "325-670-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "KARYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Lee Griffin, D.D.S.
• Robbie Charlene Grimes, PTA
• Tracy Grogan, LPC
• Terry Grosvenor
• Jared Grove, PT, DPT, COMT, CSCS
• Crystal Dawn Guerrero
• Alexandra Jolie Guillory
• Felipe Perez Gumawid Jr., P.T.
• Caitlyn Gurk
• Eric Emil Gutschke, OTR

• Physician Assistant in Abilene, TX
• Providers in Abilene, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.