Melissa Gueretta, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1250 Hahman Dr
Santa Rosa, CA 95405-6996

Phone

(707) 890-3830

NPI assigned

Apr 21, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1386264265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 EDGEWATER DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954074590",
            "telephone_number": "707-217-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HAHMAN DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056996",
            "telephone_number": "707-890-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERETTA",
        "first_name": "MELISSA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Angel Home Care of Santa Rosa
• Helen Gebretensai Gubsa
• Christiane Gude
• David Guenette
• Mary Guerard, L.AC AC3313
• Daisy Guerrero Uuzeta
• Anthony Guerrero
• Cynthia Guerrero
• Jacqueline Guerrero
• Kiana Guerrero, M.D.

• Athletic Trainer in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.