Active NPI
Dana Gremillion Guerra, M.C.D.
- Speech-Language Pathologist
- Kerrville, TX
National Provider Identifier
1841343597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5656
- Practice address
- 746 Alpine Dr
Kerrville, TX 78028-2502 - Phone
- (504) 975-3710
- NPI assigned
- Jan 18, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5656 | LA | Primary |
Addresses
Primary practice location
746 Alpine Dr
Kerrville, TX 78028-2502
Mailing address
9947 Jon Boat Way
Boerne, TX 78006-5366
Phone (504) 975-3710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103292 | TX | MD | Clinical Social Worker |
| 5656 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1841343597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9947 JON BOAT WAY",
"city": "BOERNE",
"state": "TX",
"postal_code": "780065366",
"telephone_number": "504-975-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 ALPINE DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780282502",
"telephone_number": "504-975-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "DANA",
"middle_name": "GREMILLION",
"name_prefix": "Mrs.",
"credential": "M.C.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "5656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.