Individual provider Active NPI

Lisa L Guerrero, R.N.C., W.H.N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Harlingen, TX
National Provider Identifier
1477756880
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
585898 Issued in TX
Practice address
626 N Ed Carey Dr
Harlingen, TX 78550-7912
Phone
(956) 428-4868
Fax
(956) 230-4238
NPI assigned
Jun 6, 2007
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 585898 TX Primary

Addresses

Primary practice location

626 N Ed Carey Dr
Harlingen, TX 78550-7912

Mailing address

6600 Chase Oaks Blvd Ste 160
Plano, TX 75023-2381
Phone (214) 459-4200

Other identifiers 1

IdentifierTypeStateIssuer
084800401MedicaidTX

Other names 1

  • Lisa L Rudd Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121004000555 TX Practitioner - Nurse Practitioner 5597914663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

626 N Ed Carey Dr
Harlingen, TX 78550-7912
Phone (956) 428-4487

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
585898TXMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Randall Burt MD PA Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Unified Women's Healthcare of Texas PLLC CurrentSince Nov 2, 2021 Accepting new patients
Dagoberto Martinez, Mdpa PastSince Feb 14, 2021 Accepting new patients
Manuel G Guajardo Mdpa Past Accepting new patients
Rodolfo J. Walss MD Past Accepting new patients

Locations

626 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 428-4487

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

Interoperability endpoints

  • Direct secure messaging: lisa.rudd.1@11541.direct.athenahealth.com

Organizations & group practices 6

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1477756880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CHASE OAKS BLVD STE 160",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232381",
            "telephone_number": "214-459-4200",
            "fax_number": "956-350-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507912",
            "telephone_number": "956-428-4868",
            "fax_number": "956-230-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "R.N.C., W.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "585898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084800401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RUDD",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.