Individual provider Active NPI

Guadalupe Munguia

  • Case Manager/Care Coordinator
  • Fort Worth, TX
National Provider Identifier
1730482498
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1101 S Main St
Fort Worth, TX 76104-4802
Phone
(817) 321-4913
Fax
(817) 321-2920
NPI assigned
Dec 17, 2010
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1101 S Main St
Fort Worth, TX 76104-4802

Mailing address

5350 Fossil Creek Blvd Apt 828
Haltom City, TX 76137-6237
Phone (817) 605-8615

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

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1730482498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 FOSSIL CREEK BLVD APT 828",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761376237",
            "telephone_number": "817-605-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4913",
            "fax_number": "817-321-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGUIA",
        "first_name": "GUADALUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.