Active NPI
Guillermina Ibarra, RD, LD
- Registered Dietitian
- Mission, TX
National Provider Identifier
1306900899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT07240
- Practice address
- RR 6 Box 100-15
Mission, TX 78574-9518 - Phone
- (956) 584-9802
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | DT07240 | TX | Primary |
Addresses
Primary practice location
RR 6 Box 100-15
Mission, TX 78574-9518
Mailing address
RR 6 Box 100-15
Mission, TX 78574-9518
Phone (956) 584-9802
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306900899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 6 BOX 100-15",
"city": "MISSION",
"state": "TX",
"postal_code": "785749518",
"telephone_number": "956-584-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 6 BOX 100-15",
"city": "MISSION",
"state": "TX",
"postal_code": "785749518",
"telephone_number": "956-584-9802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "GUILLERMINA",
"name_prefix": "Ms.",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT07240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- 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.