Individual provider Active NPI

Laura Beth Guerra, RNC WHNP

  • Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1710026828
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
708412 Issued in TX
Practice address
105 E Alton Gloor Blvd
Brownsville, TX 78526-3391
Phone
(956) 831-8338
NPI assigned
Feb 5, 2007
Last updated
Mar 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 708412 TX Primary

Addresses

Primary practice location

105 E Alton Gloor Blvd
Brownsville, TX 78526-3391

Mailing address

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6750

Other identifiers 2

IdentifierTypeStateIssuer
193681702MedicaidTX
193681701MedicaidTX

Other names 1

  • Ms. Laura Beth Garza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080201000054 TX Practitioner - Nurse Practitioner 2961584727 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dagoberto Martinez, Mdpa CurrentSince Jan 30, 2011 Accepting new patients
Su Clinica Familiar CurrentSince Dec 31, 2013 Accepting new patients

Locations

105 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 831-8338

3855 Southmost Rd
Brownsville, TX 78521
Phone (956) 544-2001

95 E Price Rd
Bldg A
Brownsville, TX 78521
Phone (956) 504-6080

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

Interoperability endpoints

  • Direct secure messaging: laura.guerra.1@27715.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1710026828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 TREASURE HILLS BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508911",
            "telephone_number": "956-365-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263391",
            "telephone_number": "956-831-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "RNC WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "708412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193681702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193681701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GARZA",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "RNC WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.