Active NPI
Guadalupe Guerrero
- Technician/Technologist
- Dickson Cty, PA
National Provider Identifier
1528891710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- CO300474
- Practice address
- 1550 Main St
Dickson Cty, PA 18447-1345 - Phone
- (570) 550-0870
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | CO300474 | PA | Primary |
Addresses
Primary practice location
1550 Main St
Dickson Cty, PA 18447-1345
Mailing address
259 Academy St
Wilkes Barre, PA 18702-2337
Phone (570) 550-0870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO300474 | PA | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1528891710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 ACADEMY ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187022337",
"telephone_number": "570-550-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 MAIN ST",
"city": "DICKSON CTY",
"state": "PA",
"postal_code": "184471345",
"telephone_number": "570-550-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "GUADALUPE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "PA",
"license": "CO300474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickson Cty, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.