Individual provider Active NPI

Kirsten Shelby Guerra, CPNP-PC

  • Pediatric Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1558865980
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
CNP-03538 Issued in NM
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
CNP-03538NMMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Familycare Associates,PA Past Accepting new patients
Bee Healthy Pediatrics LLC PastSince Dec 6, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.