Active NPI
Andrea Lane Guerrero, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Appleton, WI
National Provider Identifier
1801516596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 189506-30
- Practice address
- 27 Tracy CT
Appleton, WI 54915-3779 - Phone
- (920) 213-7498
- NPI assigned
- Sep 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 189506-30 | WI | Primary |
Addresses
Primary practice location
27 Tracy CT
Appleton, WI 54915-3779
Mailing address
27 Tracy CT
Appleton, WI 54915-3779
Phone (920) 213-7498
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189506-30 | WI | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1801516596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 TRACY CT",
"city": "APPLETON",
"state": "WI",
"postal_code": "549153779",
"telephone_number": "920-213-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 TRACY CT",
"city": "APPLETON",
"state": "WI",
"postal_code": "549153779",
"telephone_number": "920-213-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "ANDREA",
"middle_name": "LANE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "WI",
"license": "189506-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.