Individual provider Active NPI

Huri Pierre Guadarrama, FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1871266874
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
261265 Issued in AZ
Practice address
13555 W McDowell Rd Ste 302
Goodyear, AZ 85395-2629
Phone
(623) 512-4390
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 261265 AZ Primary
Nurse Practitioner 363L00000X 14272517-4405 UT

Addresses

Primary practice location

13555 W McDowell Rd Ste 302
Goodyear, AZ 85395-2629

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1380 E Medical Center Dr Ste 2100
St George, UT 84790-2129
Phone (435) 251-3250

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220908002234 AZ Practitioner - Nurse Practitioner 7315321452 Reassigns benefits to 1 organization
I20260514000082 UT Practitioner - Nurse Practitioner 7315321452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Urology LLCGroup PAC ID 9537566930, 11 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 302
Goodyear, AZ 85395-2629
Phone (623) 512-4390

1380 E Medical Ctr Dr
Suite 2100
St George, UT 84790-2129
Phone (435) 251-3250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14272517-4405UTMDNurse Practitioner
261265AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology LLC Urology CurrentSince Aug 1, 2022 Accepting new patients
Palo Verde Hematology Oncology LTD. CurrentSince Aug 1, 2022 Accepting new patients

Locations

1488 W Elliot Rd
Gilbert, AZ 85233

20325 N 51st Ave
Ste 170
Glendale, AZ 85308
Phone 6232494928 ext. 3352

13555 W McDowell Rd
Ste 302
Goodyear, AZ 85395

3815 E Bell Rd
Ste 4200
Phoenix, AZ 85032

Interoperability endpoints

  • Direct secure messaging: pierre.guadarrama.1@15230.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1871266874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 302",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952629",
            "telephone_number": "623-512-4390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 E Medical Center Dr Ste 2100",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902129",
            "country_code": "US",
            "telephone_number": "435-251-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUADARRAMA",
        "first_name": "HURI",
        "middle_name": "PIERRE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "261265",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "14272517-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.