Elissa Kalinchuk Guadarrama, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

915339 Issued in TX

Practice address

7938 New World
San Antonio, TX 78239-3515

Phone

(830) 719-3096

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elissa Kalinchuk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1245355056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7938 NEW WORLD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782393515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7938 NEW WORLD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782393515",
            "telephone_number": "830-719-3096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Township St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727032817",
            "country_code": "US",
            "telephone_number": "479-443-7791",
            "fax_number": "479-443-5761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUADARRAMA",
        "first_name": "ELISSA",
        "middle_name": "KALINCHUK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "168502",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "915339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "KALINCHUK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guadalupe County Hospital Board
• Guadalupe DME Inc
• Guadalupe Medical Innovations Corporation
• Martha Guadamud Pacheco, MD
• Juliana Guadamuz, LPC
• Emily Guadarrama
• Karen D. Guadarrama, PHARMACIST
• Vanessa N Guadiana
• Yolanda Guadiana, LMT
• Amberly Guadiano

• Medical-Surgical Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical-Surgical Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.