Individual provider Active NPI

Lizbeth Guerrero

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1700290392
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5640 Issued in AZ
Practice address
6600 N Oracle Rd Ste 100
Tucson, AZ 85704-5676
Phone
(520) 620-1226
Fax
(520) 300-8444
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5640 AZ Primary

Addresses

Primary practice location

6600 N Oracle Rd Ste 100
Tucson, AZ 85704-5676

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929000126 AZ Practitioner - Nurse Practitioner 0547578361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP5640AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Con Health & Wellness Center LLC CurrentSince Aug 28, 2017 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

3402 E Broadway Blvd
Tucson, AZ 85716
Phone (480) 498-8948

Interoperability endpoints

  • Direct secure messaging: lizbeth.guerrero.1@24675.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1700290392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-818-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 N ORACLE RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045676",
            "telephone_number": "520-620-1226",
            "fax_number": "520-300-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "LIZBETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.