Tina Guedes, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

60443 Issued in ID

Practice address

85 S 5TH W
Lava Hot Springs, ID 83246

Phone

(208) 776-5202

Fax

(844) 492-9775

NPI assigned

Oct 2, 2019

Last updated

Jan 17, 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 ID

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
• Caribou Medical Center Hospital, Soda Springs, ID, CCN 131309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tina.guedes.1@16258.direct.athenahealth.com

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.

• Health West, Inc.

  dba Health West Preston Clinic

  • Federally Qualified Health Center (FQHC)
  • Preston, ID
  • NPI 1033595541
  Medicare reassignment Care Compare group NPD
• Health West, Inc.

  dba Health West Aberdeen Clinic

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, ID
  • NPI 1295734796

  Family Medicine

  NPD
• Health West, Inc.

  dba Health West Downey Clinic

  • Federally Qualified Health Center (FQHC)
  • Downey, ID
  • NPI 1588666945

  Family Medicine

  NPD
• Health West, Inc.

  dba Health West American Falls Clinic

  • Federally Qualified Health Center (FQHC)
  • American Falls, ID
  • NPI 1629077235

  Family Medicine

  NPD
• Health West, Inc.

  dba Health West Chubbuck Clinic

  • Federally Qualified Health Center (FQHC)
  • Chubbuck, ID
  • NPI 1629499751
  NPD
• Health West, Inc.

  dba Sryinga Elementary School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1740143882
  NPD
• Health West, Inc.

  dba Health West City Center

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1013547801
  NPD (past)
• Health West, Inc.

  dba Health West Pocatello Clinic

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1154320752

  Family Medicine

  NPD (past)
• Health West, Inc.

  dba Health West Lava Clinic

  • Federally Qualified Health Center (FQHC)
  • Lava Hot Springs, ID
  • NPI 1427057926

  Family Medicine

  NPD (past)
• Health West, Inc.

  dba Health West ISU

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1912261413
  NPD (past)
• Health West, Inc.

  dba Health West Montpelier

  • Federally Qualified Health Center (FQHC)
  • Montpelier, ID
  • NPI 1912613845

  Family Medicine

  NPD (past)
• Health West, Inc.

  dba Health West Pediatrics and OB/GYN

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1942772223

  Family Medicine

  NPD (past)

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

• Caribou Medical Center, Inc

  dba Caribou Medical Center

  • Critical Access Hospital
  • Soda Springs, ID
  • NPI 1942970272
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  dba Portneuf Medical Center

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation
• Whitewater Healthcare LLC

  dba Symbii Home Health

  • Home Health Agency
  • Chubbuck, ID
  • NPI 1477177921
  Care Compare affiliation

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1194366013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S 5TH W",
            "city": "LAVA HOT SPRINGS",
            "state": "ID",
            "postal_code": "83246",
            "telephone_number": "208-776-5202",
            "fax_number": "844-492-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEDES",
        "first_name": "TINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helene P Edmo, FNP
• Pamela Goodliffe, DMD
• Health West, Inc. (Health West Lava Clinic)
• Robert Brent Hubbard, MD
• Lava Hot Springs Academy
• Nursing U Home Transport LLC
• Road to Recovery, Inc.

• Family Nurse Practitioner in Lava Hot Springs, ID
• Providers in Lava Hot Springs, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.
• 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.