Individual provider Active NPI

Grace Guerrero, FNP

  • Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1790079358
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2009008448 Issued in TX
Practice address
421 W Jackson Ave
McAllen, TX 78501-2841
Phone
(956) 624-5436
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 2009008448 TX Primary

Addresses

Primary practice location

421 W Jackson Ave
McAllen, TX 78501-2841

Mailing address

1002 W Sam Houston Blvd
Ste 4
Pharr, TX 78577-5198
Phone (956) 624-5436

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2009008448TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Family Clinic LLC CurrentSince Aug 17, 2012 Accepting new patients
Festiva Inc. PastSince Jul 25, 2012 Accepting new patients

Locations

1001 S 10th St
Ste G
McAllen, TX 78501
Phone (956) 867-0057

3900 W Expressway 83
McAllen, TX 78501
Phone (956) 630-6111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1790079358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W SAM HOUSTON BLVD",
            "address_2": "STE 4",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775198",
            "telephone_number": "956-624-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W JACKSON AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012841",
            "telephone_number": "956-624-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "GRACE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "2009008448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.