Guadalupe Heredia, BRN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

438451 Issued in CA

Practice address

1415 Ross Ave El Centro Ca
El Centro
El Centro, CA 92243

Phone

(760) 339-7146

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1831723030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE EL CENTRO CA",
            "address_2": "EL CENTRO",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE EL CENTRO CA",
            "address_2": "EL CENTRO",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-339-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "GUADALUPE",
        "credential": "BRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "438451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Children Achieve Family Therapy, Inc.
• Helping Hands Hospice, Inc.
• Kerry James Henderson
• Janet Bernice Henry
• Christina Herbas
• Alicia Jean Hernandez
• Ana Karen Hernandez
• Andres J Hernandez, CMA
• Brian Daniel Hernandez
• Cynthia Hernandez

• Registered Nurse in El Centro, CA
• Providers in El Centro, CA by specialty
• Registered Nurse in California

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