Active NPI
Jessica Guerra, AUD
- Audiologist
- Keller, TX
National Provider Identifier
1851919633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 601 S Main St Ste 250
Keller, TX 76248-7031 - Phone
- (817) 379-6200
- NPI assigned
- Jul 8, 2020
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
601 S Main St Ste 250
Keller, TX 76248-7031
Mailing address
101 E Glade Rd Apt 17301
Grapevine, TX 76051-7448
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Eyecare PA | Current | Accepting new patients |
Locations
601 S Main St
Ste 250
Keller, TX 76248
Phone (817) 379-6200
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 and National Provider Directory roles.
-
- Optometrist
- Keller, TX
- NPI 1497949366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1851919633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E GLADE RD APT 17301",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760517448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S MAIN ST STE 250",
"city": "KELLER",
"state": "TX",
"postal_code": "762487031",
"telephone_number": "817-379-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "JESSICA",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.