Individual provider Active NPI

Gabriela Paredes Guardado

  • Case Manager/Care Coordinator
  • Salt Lake City, UT
National Provider Identifier
1891540514
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
F24-112057 Issued in UT
Practice address
1343 S Main St Ste B
Salt Lake City, UT 84115-5311
Phone
(801) 232-7633
Fax
(801) 466-2377
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X F24-112057 UT Primary

Addresses

Primary practice location

1343 S Main St Ste B
Salt Lake City, UT 84115-5311

Mailing address

1343 S Main St Ste B
Salt Lake City, UT 84115-5311
Phone (801) 232-7633

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

State licenses

LicenseStateTypeSpecialty
F24-112057UTMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1891540514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 S MAIN ST STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155311",
            "telephone_number": "801-232-7633",
            "fax_number": "801-466-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 S MAIN ST STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155311",
            "telephone_number": "801-232-7633",
            "fax_number": "801-466-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES GUARDADO",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": "F24-112057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.