Stefani Viviane Guerrero, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-10802 Issued in NC

Practice address

16817 Marvin Rd
Charlotte, NC 28277-2196

Phone

(704) 495-6036

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17847/brand/1/csg/1/fhir/r4
• Direct secure messaging: stefani.guerrero.1@17847.direct.athenahealth.com

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.

• Tryon Medical Partners, PLLC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1992204549
  Medicare reassignment Care Compare group
• Pasia, LLC

  • Physician Assistant
  • Miami, FL
  • NPI 1194099572
  NPD (past) Authorized official
• Tryon Medical Partners, PLLC

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1497510184
  NPD (past)

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1861766701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16817 MARVIN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772196",
            "telephone_number": "704-495-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "STEFANI",
        "middle_name": "VIVIANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106437",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861766701",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Guelzow, LMFTA
• Alicia Guerra
• Chelsea Therese Guerra, OT
• Marcela Guerra
• Tomas Ignacio Guerrero Nunez, MD
• Delisha Lavon Guerrier, RN
• Emma Breanne Guerriero, BCBA
• Corey Allyson Guess, FNP
• Esmerelda Guevara
• Holly Marie Louise Guffey, PA

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.