Individual provider Active NPI

Analiza P Guerrero, NP-C

  • General Practice Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1972821064
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
SP010366 Issued in PA
Practice address
4453 Castor Ave
Suite B
Philadelphia, PA 19124-3846
Phone
(215) 744-2266
Fax
(215) 743-9247
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X SP010366 PA Primary

Addresses

Primary practice location

4453 Castor Ave
Suite B
Philadelphia, PA 19124-3846

Mailing address

4453 Castor Ave
Suite B
Philadelphia, PA 19124-3846
Phone (215) 744-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100909000387 PA Practitioner - Nurse Practitioner 2062537426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Nephrology Associates PCGroup PAC ID 3779566732, 9 clinicians

Practice addresses (Care Compare)

4453 Castor Ave
Suite B
Philadelphia, PA 19124-3846
Phone (215) 744-2266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP010366PAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Nephrology Associates, PC CurrentSince Aug 1, 2010 Accepting new patients
Metropolitan Nephrology Associates, P.C. CurrentSince Aug 1, 2010 Accepting new patients

Locations

4453 Castor Ave
#B
Philadelphia, PA 19124
Phone (215) 238-2266

Interoperability endpoints

  • Direct secure messaging: analiza.guerrero@metropolitannephrologyassoc.chartmakerdirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1972821064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "SUITE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "SUITE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "ANALIZA",
        "middle_name": "P",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "SP010366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.