Carmen R. Guillermo, M.A. (MASTER OF ARTS

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU310 AND HA3045 Issued in CA

Practice address

1204 Cottonwood St
Suite 6
Woodland, CA 95695-4362

Phone

(530) 668-1663

Fax

(530) 668-8150

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Carmen Rodriguez Newlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679615439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 COTTONWOOD ST",
            "address_2": "SUITE 6",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954362",
            "telephone_number": "530-668-1663",
            "fax_number": "530-668-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 COTTONWOOD ST",
            "address_2": "SUITE 6",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954362",
            "telephone_number": "530-668-1663",
            "fax_number": "530-668-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLERMO",
        "first_name": "CARMEN",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "M.A. (MASTER OF ARTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU310 AND HA3045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0003100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA0030450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "NEWLIN",
            "middle_name": "RODRIGUEZ",
            "prefix": "MRS.",
            "credential": "M.A. (MASTER OF ARTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist-Hearing Aid Fitter in Woodland, CA
• Providers in Woodland, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.