Individual provider Active NPI

Maria Carmela Guevara, M.S.ED

  • Specialist
  • Flushing, NY
National Provider Identifier
1366705865
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
641279 Issued in NY
Practice address
6422 181St St
Flushing, NY 11365-2142
Phone
(718) 359-8244
Fax
(718) 359-2093
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 641279 NY Primary
Early Intervention Provider Agency 252Y00000X 641279 NY

Addresses

Primary practice location

6422 181St St
Flushing, NY 11365-2142

Mailing address

6422 181St St
Flushing, NY 11365-2142
Phone (718) 359-8244

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

State licenses

LicenseStateTypeSpecialty
641279NYMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1366705865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 181ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113652142",
            "telephone_number": "718-359-8244",
            "fax_number": "718-359-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 181ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113652142",
            "telephone_number": "718-359-8244",
            "fax_number": "718-359-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "MARIA",
        "middle_name": "CARMELA",
        "name_prefix": "Ms.",
        "credential": "M.S.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "641279",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "641279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.