Camilo Ernesto Guevara, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

848601 Issued in TX

Practice address

2020 Bill Owens Pkwy
Longview, TX 75604-6243

Phone

(903) 212-7808

Fax

(903) 212-7121

NPI assigned

May 13, 2020

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1184246126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N 7TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016704",
            "telephone_number": "903-931-3242",
            "fax_number": "903-212-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BILL OWENS PKWY",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046243",
            "telephone_number": "903-212-7808",
            "fax_number": "903-212-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016704",
            "country_code": "US",
            "telephone_number": "903-212-7808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "CAMILO",
        "middle_name": "ERNESTO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "848601",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "848601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gruenepointe 1 Longview, LLC (Whispering Pines Lodge)
• GSHS Home Health, LLC (CHRISTUS Good Shepherd)
• GSPS Gastroenterology PLLC
• Guadalupe County Hospital Board (Avir at Longview)
• Flor Sostene Guerengomba, PEDIATRICIAN
• Luz Angelica Guevara
• Marisa N. H. Guillory, MD
• Michael B Guillory, M.D.
• Ryan M Guillory, MD
• Carissa Brooke Gunathilaka, LPC

• Administrator Registered Nurse in Longview, TX
• Providers in Longview, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.