Individual provider Active NPI

Dana D. Guerra, M.S., B.S., LPT

  • Specialist
  • Harlingen, TX
National Provider Identifier
1356400451
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1124857 Issued in TX
Practice address
801 N Ed Carey Dr
Harlingen, TX 78550-7919
Phone
(956) 440-1155
Fax
(956) 440-0913
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1124857 TX Primary

Addresses

Primary practice location

801 N Ed Carey Dr
Harlingen, TX 78550-7919

Mailing address

801 N Ed Carey Dr
Harlingen, TX 78550-7919
Phone (956) 440-1155

Other identifiers 2

IdentifierTypeStateIssuer
154838001MedicaidTX
371437270OtherTXTAX IDENTIFICATION

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)
Not enrolled
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
1124857TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1356400451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507919",
            "telephone_number": "956-440-1155",
            "fax_number": "956-440-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507919",
            "telephone_number": "956-440-1155",
            "fax_number": "956-440-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "DANA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "M.S., B.S., LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1124857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154838001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "371437270",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.