Individual provider Active NPI

Vanessa Guzman, RBT

  • Behavior Technician
  • Albuquerque, NM
National Provider Identifier
1578804746
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8901 Jefferson St NE Apt 628
Albuquerque, NM 87113-2264
Phone
(505) 675-8563
NPI assigned
Mar 12, 2013
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

8901 Jefferson St NE Apt 628
Albuquerque, NM 87113-2264

Mailing address

8901 Jefferson St NE Apt 628
Albuquerque, NM 87113-2264
Phone (505) 675-8563

Other practice location 1

2503 Ridge Runner Rd
Las Vegas, NM 87701-4972
Phone (505) 454-8265

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

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1578804746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 JEFFERSON ST NE APT 628",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132264",
            "telephone_number": "505-675-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 JEFFERSON ST NE APT 628",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132264",
            "telephone_number": "505-675-8563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 Ridge Runner Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877014972",
            "country_code": "US",
            "telephone_number": "505-454-8265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "VANESSA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.