NPIMap

Individual provider Active NPI

Holly Guenette, OTRL CHT

  • Hand Occupational Therapist
  • Santa Fe, NM
National Provider Identifier
1376631994
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 2585 Issued in NM
Practice address
2538 Camino Entrada Ste 300
Santa Fe, NM 87507-4927
Phone
(505) 424-1239
Fax
(888) 746-4761
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT 2585 NM Primary

Addresses

Primary practice location

2538 Camino Entrada Ste 300
Santa Fe, NM 87507-4927

Mailing address

2538 Camino Entrada Ste 300
Santa Fe, NM 87507-4927
Phone (505) 424-1239

Other identifiers 3

IdentifierTypeStateIssuer
891854600OtherFLMEDICAID
890472301MedicaidFL
Z096UOtherFLBCBS PROVIDER NUMBER

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

State licenses

LicenseStateTypeSpecialty
OT 2585NMMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Solutions, Inc Past Accepting new patients
Action Hand Therapy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1376631994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 CAMINO ENTRADA STE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074927",
            "telephone_number": "505-424-1239",
            "fax_number": "888-746-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 CAMINO ENTRADA STE 300",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074927",
            "telephone_number": "505-424-1239",
            "fax_number": "888-746-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENETTE",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NM",
            "license": "OT 2585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "891854600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890472301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Z096U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.