Lydia Guerrero

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000106 Issued in AK

Practice address

18242 Tonsina CT
Eagle River, AK 99577

Phone

(907) 694-7555

Fax

(907) 694-7555

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194945816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18242 TONSINA CT",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-694-7555",
            "fax_number": "907-694-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18242 TONSINA CT",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-694-7555",
            "fax_number": "907-694-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "LYDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "000106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600897749",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Greene, BS
• James M Griffin
• Muranda Griggs, MS, LPC, CDCI, MAC
• Daniel Grant Groeneweg
• Megan Gruhl
• Guiding Light Assistant Living Home
• Sarah Elizabeth Jean Guttman, OTR/L
• Samantha Haas
• Susan J Hadacek, M.A., LPC
• Catherine Anada Haese, PMHNP

• All providers in Eagle River, AK
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.