Active NPI
Jo Beth Guerra, MS, RD, LD
- Registered Dietitian
- Sanger, TX
National Provider Identifier
1194584250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2803
- Practice address
- 49 Kramer LN
Sanger, TX 76266-5782 - Phone
- (501) 276-6808
- NPI assigned
- Mar 18, 2024
- Last updated
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2803 | OK | Primary |
Addresses
Primary practice location
49 Kramer LN
Sanger, TX 76266-5782
Mailing address
49 Kramer LN
Sanger, TX 76266-5782
Phone (501) 276-6808
Other practice location 1
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Phone (501) 276-6808
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2803 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1194584250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 KRAMER LN",
"city": "SANGER",
"state": "TX",
"postal_code": "762665782",
"telephone_number": "501-276-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 KRAMER LN",
"city": "SANGER",
"state": "TX",
"postal_code": "762665782",
"telephone_number": "501-276-6808"
}
],
"practiceLocations": [
{
"address_1": "3724 Jefferson St Ste 104",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787316204",
"country_code": "US",
"telephone_number": "501-276-6808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUERRA",
"first_name": "JO",
"middle_name": "BETH",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanger, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.