Active NPI
Guadalupe Vanessa Enamorado, RN
- Registered Nurse
- Dallas, TX
National Provider Identifier
1952899981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 939778
- Practice address
- 3314 S Ewing Ave
Dallas, TX 75216-5221 - Phone
- (469) 237-0144
- NPI assigned
- Apr 25, 2018
- Last updated
- Apr 25, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 939778 | TX | Primary |
Addresses
Primary practice location
3314 S Ewing Ave
Dallas, TX 75216-5221
Mailing address
3314 S Ewing Ave
Dallas, TX 75216-5221
Phone (469) 237-0144
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 939778 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1952899981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 S EWING AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752165221",
"telephone_number": "469-237-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3314 S EWING AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752165221",
"telephone_number": "469-237-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENAMORADO",
"first_name": "GUADALUPE",
"middle_name": "VANESSA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "939778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Sondos Emran
- Ashley Nicole Emrick, PSY.D.
- Graham John Emslie, MD
- Christopher Yakubu Emuedue, DMD
- Enamelrx PLLC
- Sergio Enamorado
- Richard Enander, PH.D
- Encompass Health Rehabilitation Hospital of Dallas, LLC (Encompass Health Rehabilitation Hospital of Dallas)
- Encompass Physicians Group
- Encouragement Counseling and Psychotherapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.