Active NPI
Tina Marie Guerrero, DC
- Chiropractor
- Tucumcari, NM
National Provider Identifier
1780846998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2274
- Practice address
- 325 S 1St Street
Tucumcari, NM 88401-3117 - Phone
- (575) 282-2222
- Fax
- (575) 282-2224
- NPI assigned
- Jun 28, 2008
- Last updated
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2274 | NM | Primary |
| Nutrition Chiropractor | 111NN1001X | 01-05206 | KS | |
| Nutritionist | 133N00000X | |||
| Acupuncturist | 171100000X |
Addresses
Primary practice location
325 S 1St Street
Tucumcari, NM 88401-3117
Mailing address
325 S 1St Street
Tucumcari, NM 88401-3117
Phone (575) 282-2222
Other names 1
- Dr. Tina Marie Brunke-Weathers
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2274 | NM | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huffman Counseling and Wellness LLC | Current | Accepting new patients | |
| Healthy Lifestyle Wellness Center Inc | Nutrition | Past | Accepting new patients |
Locations
325 S 1st St
Tucumcari, NM 88401
Phone (505) 461-2222
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.
-
- Nutrition Chiropractor
- McPherson, KS
- NPI 1093977241
-
- Community/Behavioral Health Agency
- Tucumcari, NM
- NPI 1407430861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1780846998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S 1ST STREET",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884013117",
"telephone_number": "575-282-2222",
"fax_number": "575-282-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S 1ST STREET",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884013117",
"telephone_number": "575-282-2222",
"fax_number": "575-282-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "DC2274",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "KS",
"license": "01-05206",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "BRUNKE-WEATHERS",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucumcari, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.