Individual provider Active NPI

Flor Sostene Guerengomba, PEDIATRICIAN

  • Pediatrics Physician
  • Longview, TX
National Provider Identifier
1396181806
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V0751 Issued in TX
Practice address
323 E Hawkins Pkwy Ste D
Longview, TX 75605-8165
Phone
(903) 315-4450
Fax
(903) 238-9185
NPI assigned
May 13, 2013
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME130786 FL
Pediatrics Physician 208000000X V0751 TX Primary

Addresses

Primary practice location

323 E Hawkins Pkwy Ste D
Longview, TX 75605-8165

Mailing address

601 Childrens LN
Norfolk, VA 23507-1910
Phone (757) 668-7272

Other practice location 1

601 Children's Lane
Norfolk, VA 23507
Phone (757) 668-7272

Other names 1

  • NA NA NA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, OK, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170330001357 NM Practitioner - Pediatric Medicine 7113227547 Reassigns benefits to 3 organizations
I20250512002820 OK Practitioner - Pediatric Medicine 7113227547 Reassigns benefits to 1 organization
I20251113003902 OH Practitioner - Pediatric Medicine 7113227547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

45 St Lawence Dr
Tiffin, OH 44883-8310

45 St Lawrence Dr
Tiffin, OH 44883-8310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME130786FLMDPediatrics Physician
V0751TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 25, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Oct 27, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 25, 2025 Accepting new patients
Roswell Clinic Corp CurrentSince Apr 20, 2024 Accepting new patients
Roswell Clinic Corp CurrentSince Apr 20, 2024 Accepting new patients
Integris Ambulatory Care Corporation Pediatrics CurrentSince Jun 16, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Oct 27, 2021 Accepting new patients
Akron Children's Hospital Current Accepting new patients
Integris Canadian Valley Hospital Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Interoperability endpoints

  • Direct secure messaging: fguerengomba116772@direct.chmca.org
  • Direct secure messaging: fguerengomba536920@direct.integrisok.com
  • Direct secure messaging: flor.guerengomba.1@6965.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1396181806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY STE D",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058165",
            "telephone_number": "903-315-4450",
            "fax_number": "903-238-9185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Children's Lane",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23507",
            "country_code": "US",
            "telephone_number": "757-668-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERENGOMBA",
        "first_name": "FLOR",
        "middle_name": "SOSTENE",
        "name_prefix": "Ms.",
        "credential": "PEDIATRICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME130786",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V0751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "middle_name": "NA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.