Individual provider Active NPI

Elizabeth Guerra

  • Gerontology Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1902362411
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
785525 Issued in TX
Practice address
5010 Crenshaw Rd Ste 130
Pasadena, TX 77505-4615
Phone
(281) 991-2200
NPI assigned
Feb 20, 2019
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 785525 TX Primary

Addresses

Primary practice location

5010 Crenshaw Rd Ste 130
Pasadena, TX 77505-4615

Mailing address

5122 Castlecreek LN
Houston, TX 77053-3639
Phone (281) 229-5303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190412001162 TX Practitioner - Nurse Practitioner 6709127129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16840 Buccaneer LN
Houston, TX 77058-2570
Phone (281) 991-2200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
785525TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Specialists, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Interventional Pain Specialists, PLLC CurrentSince Feb 1, 2019 Accepting new patients

Locations

16840 Buccaneer Ln
Ste 202
Houston, TX 77058

5010 Crenshaw Rd
Ste 130
Pasadena, TX 77505
Phone (713) 299-7374

6243 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 241-6130

7111 Medical Center Dr
Ste 100
Texas City, TX 77591
Phone (832) 738-1836

Interoperability endpoints

  • Direct secure messaging: elavila@ipsp-tx.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1902362411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 CASTLECREEK LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533639",
            "telephone_number": "281-229-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 CRENSHAW RD STE 130",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054615",
            "telephone_number": "281-991-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "785525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.