Individual provider Active NPI

Sonia I Guerrero, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Nogales, AZ
National Provider Identifier
1326524083
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222441 Issued in AZ
Practice address
1852 N Mastick Way
Nogales, AZ 85621-1061
Phone
(520) 281-1550
Fax
(520) 281-1112
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN154192 AZ
Family Nurse Practitioner 363LF0000X 222441 AZ Primary

Addresses

Primary practice location

1852 N Mastick Way
Nogales, AZ 85621-1061

Mailing address

825 N Grand Ave Ste 100
Nogales, AZ 85621-1061
Phone (520) 281-1550

Other identifiers 1

IdentifierTypeStateIssuer
488978MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190530000603 AZ Practitioner - Nurse Practitioner 4981947231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 281-1550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN154192AZMDCommunity Health Registered Nurse
222441AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc Nurse Practitioner Current Accepting new patients
Mariposa Community Health Center, Inc Nurse Practitioner CurrentSince May 1, 2019 Accepting new patients
Mariposa Community Health Center, Inc Nurse Practitioner Current Accepting new patients
Mariposa Community Health Center, Inc CurrentSince May 1, 2019 Accepting new patients

Locations

825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128

1852 N Mastick Way
Nogales, AZ 85621

507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085

1835 N Mastick Way
Nogales, AZ 85621
Phone 5202811550 ext. 1180

Interoperability endpoints

  • Direct secure messaging: soniai.guerrero.p1@direct.azch.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1326524083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GRAND AVE STE 100",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211061",
            "telephone_number": "520-281-1550",
            "fax_number": "520-281-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 N MASTICK WAY",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211061",
            "telephone_number": "520-281-1550",
            "fax_number": "520-281-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "SONIA",
        "middle_name": "I",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "RN154192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "222441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488978",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

Verify at the official NPI Registry.