Individual provider Active NPI

Leticia Guzman-Mariscal

  • Family Nurse Practitioner
  • Richland, WA
National Provider Identifier
1790586899
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61630273 Issued in WA
Practice address
1766 Fowler St Ste a
Richland, WA 99352-4843
Phone
(509) 735-9355
Fax
(509) 222-1511
NPI assigned
Mar 24, 2025
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61630273 WA Primary

Addresses

Primary practice location

1766 Fowler St Ste a
Richland, WA 99352-4843

Mailing address

1766 Fowler St Ste a
Richland, WA 99352-4843
Phone (509) 735-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260324002988 WA Practitioner - Nurse Practitioner 7315421625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1776 Fowler St
Richland, WA 99352-4808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61630273WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Collision and Injury Care LLC Family CurrentSince Mar 15, 2026 Accepting new patients

Locations

1766 Fowler St
Ste A
Richland, WA 99352
Phone (509) 735-9355

1776 Fowler St
Richland, WA 99352
Phone (509) 396-3980

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, 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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1790586899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 FOWLER ST STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524843",
            "telephone_number": "509-735-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 FOWLER ST STE A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524843",
            "telephone_number": "509-735-9355",
            "fax_number": "509-222-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN-MARISCAL",
        "first_name": "LETICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61630273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.