Mia Marissa Guerrero, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

AP133643 Issued in TX

Practice address

1900 N Oregon St
Suite 601
El Paso, TX 79902-3351

Phone

(915) 542-0755

NPI assigned

Apr 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mia Marissa Hernandez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1588198709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N OREGON ST",
            "address_2": "SUITE 601",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023351",
            "telephone_number": "915-542-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N OREGON ST",
            "address_2": "SUITE 601",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023351",
            "telephone_number": "915-542-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MIA",
        "middle_name": "MARISSA",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SN0000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neonatal",
            "state": "TX",
            "license": "AP133643",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "AP133643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "HERNANDEZ",
            "middle_name": "MARISSA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juan Antonio Guerrero III, PHARMD
• Mariana Guerrero
• Marianela Guerrero, RDN, LD, PHD
• Marisela Guerrero, BT
• Martin Guerrero Jr., M.D.
• Omar Guerrero, DO
• Pedro Julio Guerrero
• Priscilla Aileen Guerrero
• Richard Guerrero, MD
• Roberto Guerrero Jr., RN-BSN

• Neonatal Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Neonatal Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.