Mary M. Guerin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1111199 Issued in AZ

Practice address

2033 E Warner Rd Ste 109
Tempe, AZ 85284

Phone

(480) 820-5525

Fax

(480) 831-6755

NPI assigned

May 16, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDAIAD

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.

• Elite ENT

  • Otolaryngology Physician
  • Phoenix, AZ
  • NPI 1457801300
  NPD (past)
• Happy Kids Pediatrics P.C.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1821050907

  Family

  NPD (past)
• Happy Kids Pediatrics P.C.

  • Pediatrics Physician
  • Tempe, AZ
  • NPI 1821288606

  Family

  NPD (past)
• Maritza I. Irizarry MD Inc

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1548273113
  NPD (past)
• Moon Valley Pediatrics PC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1225015159
  NPD (past)
• Scottsdale Pediatrics and Pediatric Nephrology, PLLC

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1629076518
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1699035246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 E WARNER RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843417",
            "telephone_number": "480-820-5525",
            "fax_number": "480-831-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 E WARNER RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "480-820-5525",
            "fax_number": "480-831-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 N 15th Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85015",
            "country_code": "US",
            "telephone_number": "623-245-0505",
            "fax_number": "623-245-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERIN",
        "first_name": "MARY",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F1111199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Sue Grothe, LPC
• Kristin E. Grover, M.A, CCC-SLP
• Dawn Gruichich, LCSW
• Guadalupe Medical Group LLC
• Danielle Alicia Guenther, CCC-SLP
• David Guerrero
• Eva Guerrero
• Kelly Ann Guevara
• Guided Journeys Az
• Guiding Light Wellness Center Inc.

• Family Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.