Active NPI
Jennifer Nicole Guajardo
- Speech-Language Pathologist
- Kyle, TX
National Provider Identifier
1780244764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 21003 Ih 35
Kyle, TX 78640-4745 - Phone
- (512) 268-2141
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
21003 Ih 35
Kyle, TX 78640-4745
Mailing address
210 Amberwood S Apt 517
Kyle, TX 78640-6368
Other practice location 1
2100 E Martin Luther King Jr Blvd
Austin, TX 78702-1342
Phone (512) 900-7934
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonrisas Therapies- Pediatric Home and Healthcare Services, LLC. | 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
- Austin, TX
- NPI 1285932319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1780244764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 AMBERWOOD S APT 517",
"city": "KYLE",
"state": "TX",
"postal_code": "786406368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21003 IH 35",
"city": "KYLE",
"state": "TX",
"postal_code": "786404745",
"telephone_number": "512-268-2141"
}
],
"practiceLocations": [
{
"address_1": "2100 E Martin Luther King Jr Blvd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787021342",
"country_code": "US",
"telephone_number": "512-900-7934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUAJARDO",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.