Guida, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

GUIDA, LLC

Practice address

505 S Independence Blvd Ste 207
Virginia Beach, VA 23452-1150

Phone

(757) 933-3130

Fax

(757) 401-6206

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Tara Guida, PA-C

Title

Owner

Phone

(757) 933-3130

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phoenix Behavioral Health Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1811503535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 TANGLEWOOD TRL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542128",
            "telephone_number": "757-761-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S INDEPENDENCE BLVD STE 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521150",
            "telephone_number": "757-933-3130",
            "fax_number": "757-401-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "GUIDA",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-933-3130",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790799005",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phoenix-Behavioral.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "505 S Independence Blvd Ste 207",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234521150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phoenix Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen-Ann Dela Cruz Guerrero
• Christina Marie McGuire Guevara
• Rodrigo Guevara, DDS
• Sarah Guffey
• Shawna J. Gugel, D.O.
• Guided Growth ABA Consulting and Therapy
• Guiding Stars ABA, LLC
• Guiding Voices, LLC
• Guiding Young Minds
• Stefanie Guiffreda, PHARMD

• Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.