Nathalie Guidry Guajardo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06029 Issued in TX

Practice address

2310 N Ed Carey Dr # 1a
Harlingen, TX 78550-8200

Phone

(956) 428-5522

NPI assigned

Jul 10, 2014

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 TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Edward W Leahey MD Professional Association

  dba Ed Leahey MD PA

  • Specialist
  • Baytown, TX
  • NPI 1871716746
  Medicare reassignment
• HMC RGV Physicians Group

  • Cardiovascular Disease Physician
  • Harlingen, TX
  • NPI 1447639265
  Medicare reassignment
• Deer Park Family Clinic, P.a.

  • Family Medicine Physician
  • Deer Park, TX
  • NPI 1710066519
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1346656303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N ED CAREY DR # 1A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508200",
            "telephone_number": "956-428-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N ED CAREY DR # 1A",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508200",
            "telephone_number": "956-428-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Center St",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "TX",
            "postal_code": "775364943",
            "country_code": "US",
            "telephone_number": "281-479-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "NATHALIE",
        "middle_name": "GUIDRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Michelle Guajardo, MOT, OTL
• Diana Guajardo, SLPA
• Jaime Lorenzo Guajardo
• Janett Hernandez Guajardo, LVN
• Melissa Joy Guajardo, LVN
• Sandra Guajardo, M.A., CCC/SLP
• Hernan Guanajuato, MD
• Rebekah Guardiola, LPC
• Barbarita Guerra, LVN
• Dana D. Guerra, M.S., B.S., LPT

• Physician Assistant in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.