Active NPI
Guadalupe Andrade, RN
- Registered Nurse
- Brownsville, TX
National Provider Identifier
1700363587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 849401
- Practice address
- 215 Jo Ann LN
Brownsville, TX 78520-4524 - Phone
- (956) 621-9182
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 849401 | TX | Primary |
Addresses
Primary practice location
215 Jo Ann LN
Brownsville, TX 78520-4524
Mailing address
215 Jo Ann LN
Brownsville, TX 78520-4524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790847531 | Medicaid | TX |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849401 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Harlingen, TX
- NPI 1790847531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1700363587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 JO ANN LN",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785204524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 JO ANN LN",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785204524",
"telephone_number": "956-621-9182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "GUADALUPE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "849401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790847531",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.