Active NPI
Guadalupe Robles Misquez, N.P.
- Gerontology Nurse Practitioner
- Nogales, AZ
National Provider Identifier
1447389895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 337435
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6510 | CA | MD | Occupational Therapist |
| 4025224 | KY | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.