Individual provider Active NPI

Amanda Guzman

  • Speech-Language Pathologist
  • Las Cruces, NM
National Provider Identifier
1205567690
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CF-7741 Issued in NM
Practice address
505 S Main St Ste 249
Las Cruces, NM 88001-1243
Phone
(575) 527-5884
Fax
(575) 527-5886
NPI assigned
Jun 17, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CF-7741 NM Primary

Addresses

Primary practice location

505 S Main St Ste 249
Las Cruces, NM 88001-1243

Mailing address

505 S Main St Ste 249
Las Cruces, NM 88001-1243
Phone (575) 527-5884

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

State licenses

LicenseStateTypeSpecialty
CF-7741NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces School District No. 2 CurrentSince Oct 16, 2022 Accepting new patients
Aprendamos Intervention Team PA Speech-Language Pathologist PastSince Jun 1, 2022 Accepting new patients

Locations

505 S Main St
Ste 249
Las Cruces, NM 88001
Phone (575) 527-5823

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1205567690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 249",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011243",
            "telephone_number": "575-527-5884",
            "fax_number": "575-527-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 249",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011243",
            "telephone_number": "575-527-5884",
            "fax_number": "575-527-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF-7741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.