Individual provider Active NPI

Maria Mercedes Guerra, MD

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1538233192
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2013-01597 Issued in NC
Practice address
13200 Strickland Rd # R
Suite 120
Raleigh, NC 27613-5212
Phone
(919) 720-4876
Fax
(855) 861-0602
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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 046190 CT
Pediatrics Physician 208000000X 2013-01597 NC Primary

Addresses

Primary practice location

13200 Strickland Rd # R
Suite 120
Raleigh, NC 27613-5212

Mailing address

13200 Strickland Rd # R
Suite 120
Raleigh, NC 27613-5212
Phone (919) 720-4876

Other identifiers 2

IdentifierTypeStateIssuer
2013-01597OtherNCNORTH CAROLINA MEDICAL BOARD
046190OtherCTSTATE LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046190CTMDPediatrics Physician
2013-01597NCMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1538233192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 STRICKLAND RD # R",
            "address_2": "SUITE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135212",
            "telephone_number": "919-720-4876",
            "fax_number": "855-861-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 STRICKLAND RD # R",
            "address_2": "SUITE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135212",
            "telephone_number": "919-720-4876",
            "fax_number": "855-861-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "046190",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2013-01597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "2013-01597",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "046190",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.