Individual provider Active NPI

Alicia Guzman, FNP

  • Family Nurse Practitioner
  • Mission, TX
National Provider Identifier
1548532609
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
632498 Issued in TX
Practice address
1112 E Griffin Pkwy
Suite a
Mission, TX 78572-2408
Phone
(956) 584-0100
Fax
(956) 584-2783
NPI assigned
Feb 6, 2012
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 632498 TX Primary

Addresses

Primary practice location

1112 E Griffin Pkwy
Suite a
Mission, TX 78572-2408

Mailing address

605 N Main St
Ste B
Donna, TX 78537-2726
Phone (956) 584-0100

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
I20120412000457 TX Practitioner - Nurse Practitioner 3971764234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Hands Pediatrics, PLLCGroup PAC ID 8325372584, 2 clinicians

Practice addresses (Care Compare)

605 N Main St
Suite B
Donna, TX 78537-2726
Phone (956) 627-3552

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
632498TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Pediatrics, PLLC Current Accepting new patients
Healing Hands Pediatrics, PLLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

605 N Main St
Ste B
Donna, TX 78537
Phone (956) 464-4407

605 N Main St
Ste C
Donna, TX 78537
Phone (956) 460-0895

105 E Polk Ave
Pharr, TX 78577
Phone (956) 781-6591

Organizations & group practices 2

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1548532609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "address_2": "STE B",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372726",
            "telephone_number": "956-584-0100",
            "fax_number": "956-584-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E GRIFFIN PKWY",
            "address_2": "SUITE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722408",
            "telephone_number": "956-584-0100",
            "fax_number": "956-584-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ALICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "632498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.