Paulina Moreno Guillen, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86391502 Issued in AZ

Practice address

1100 N F Ave
Douglas, AZ 85607-1919

Phone

(520) 364-3285

Fax

(520) 364-3378

NPI assigned

Jan 23, 2025

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 AZ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiricahua Community Health Centers Inc 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1942241443

  AZ

  Medicare reassignment Care Compare group NPD
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Sierra Vista, AZ
  • NPI 1184407546
  Care Compare group NPD
• Chiricahua Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Willcox, AZ
  • NPI 1285488866
  Care Compare group NPD
• Chiricahua Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1124803648
  Care Compare group
• Chiricahua Community Health Centers Inc

  • Pharmacy
  • Sierra Vista, AZ
  • NPI 1558882233
  Care Compare group
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Bisbee, AZ
  • NPI 1063540144
  Care Compare group
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1174820898
  Care Compare group
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Sierra Vista, AZ
  • NPI 1205547288
  Care Compare group
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Sierra Vista, AZ
  • NPI 1417331711
  Care Compare group
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Elfrida, AZ
  • NPI 1457489890
  Care Compare group
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Bisbee, AZ
  • NPI 1710462593
  Care Compare group
• Chiricahua Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1801821970
  Care Compare group

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1225840408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071920",
            "telephone_number": "520-364-1429",
            "fax_number": "520-515-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071919",
            "telephone_number": "520-364-3285",
            "fax_number": "520-364-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO GUILLEN",
        "first_name": "PAULINA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86391502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Paul Melk, M.D.
• Elizabeth Marie Mellow, OTR/L
• Emmanuel Mikhail
• Edward John Miller Jr., D.O.
• Jazmine Aglae Morales, LMSW
• Mario Moreno, ANP
• Anyangatia Ndobegang, PHARMA
• Mitchell Paul Nelson, M. ED.; A.T.
• Katrina Anne Nichols, OD
• Victoria L Ochoa, FNP

• All providers in Douglas, AZ
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.