Individual provider Active NPI

Guadalupe Robles Misquez, N.P.

  • Gerontology Nurse Practitioner
  • Nogales, AZ
National Provider Identifier
1447389895
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
337435 Issued in AZ
Practice address
1209 W Target Range Rd
Nogales, AZ 85621-2417
Phone
(520) 287-4747
Fax
(520) 281-4487
NPI assigned
Mar 3, 2007
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 337435 AZ
Nurse Practitioner 363L00000X 4025224 KY
Gerontology Nurse Practitioner 363LG0600X 337435 AZ Primary
Gerontology Nurse Practitioner 363LG0600X 4025224 KY
Primary Care Nurse Practitioner 363LP2300X 6510 CA
Women's Health Nurse Practitioner 363LW0102X 4025224 KY

Addresses

Primary practice location

1209 W Target Range Rd
Nogales, AZ 85621-2417

Mailing address

825 N Grand Ave, Suite 100
Suite 100
Nogales, AZ 85621
Phone (520) 761-2128

Other practice location 1

1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 287-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251013003125 KY Practitioner - Nurse Practitioner 2567765357

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

704 Claystone CT
Clarksville, TN 37040-5598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6510CAMDOccupational Therapist
4025224KYMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: guadalupe.misquez.p1@direct.scfhc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447389895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GRAND AVE, SUITE 100",
            "address_2": "SUITE 100",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "85621",
            "telephone_number": "520-761-2128",
            "fax_number": "520-281-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W TARGET RANGE RD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212417",
            "telephone_number": "520-287-4747",
            "fax_number": "520-281-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1852 N Mastick Way",
            "address_purpose": "LOCATION",
            "city": "Nogales",
            "state": "AZ",
            "postal_code": "856211063",
            "country_code": "US",
            "telephone_number": "520-287-4747",
            "fax_number": "520-281-4487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISQUEZ",
        "first_name": "GUADALUPE",
        "middle_name": "ROBLES",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "337435",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4025224",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "337435",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "4025224",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "6510",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "4025224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

Verify at the official NPI Registry.