Active NPI
Kirsten Shelby Guerra, CPNP-PC
- Pediatric Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1558865980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- CNP-03538
- Practice address
- 4401 E. Lohman Ave ., Suite a
Las Cruces, NM 88011 - Phone
- (575) 532-9077
- Fax
- (575) 532-9221
- NPI assigned
- Mar 21, 2018
- Last updated
- Sep 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | CNP-03538 | NM | Primary |
Addresses
Primary practice location
4401 E. Lohman Ave ., Suite a
Las Cruces, NM 88011
Mailing address
4401 E. Lohman Ave ., Suite a
Las Cruces, NM 88011-8255
Phone (575) 532-9077
Other practice location 1
4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 532-8900
Other practice location 2
4351 E Lohman Ave
Las Cruces, NM 88011-8259
Phone (575) 522-6733
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kirsten.guerra.2@1928.direct.athenahealth.com |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-03538 | NM | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familycare Associates,PA | Past | Accepting new patients | |
| Bee Healthy Pediatrics LLC | Past | Accepting new patients |
Interoperability endpoints
- kirsten.guerra.2@1928.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Las Cruces, NM
- NPI 1891405643
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1558865980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 E. LOHMAN AVE ., SUITE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118255",
"telephone_number": "575-532-9077",
"fax_number": "575-532-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 E. LOHMAN AVE ., SUITE A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "575-532-9077",
"fax_number": "575-532-9221"
}
],
"practiceLocations": [
{
"address_1": "4371 E Lohman Ave",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880118255",
"country_code": "US",
"telephone_number": "575-532-8900",
"fax_number": "575-532-8910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4351 E Lohman Ave",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880118259",
"country_code": "US",
"telephone_number": "575-522-6733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUERRA",
"first_name": "KIRSTEN",
"middle_name": "SHELBY",
"name_prefix": "Mrs.",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NM",
"license": "CNP-03538",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kirsten.guerra.2@1928.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "4401 E. Lohman Ave ., Suite A",
"city": "Las Cruces",
"state": "NM",
"country_code": "US",
"postal_code": "88011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.