Active NPI
Rebeca Guajardo, CPO, LPO
- Orthotist
- Houston, TX
National Provider Identifier
1982018404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 49-12156
- Practice address
- 11381 Meadowglen LN
Houston, TX 77082-6664 - Phone
- (281) 589-2040
- Fax
- (281) 589-2058
- NPI assigned
- Jun 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 49-12156 | TX | Primary |
| Prosthetist | 224P00000X | LPO49 | TX |
Addresses
Primary practice location
11381 Meadowglen LN
Houston, TX 77082-6664
Mailing address
11381 Meadowglen LN
Houston, TX 77082-6664
Phone (281) 589-2040
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
| License | State | Type | Specialty |
|---|---|---|---|
| 49-12156 | TX | MD | Orthotist |
| LPO49 | TX | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1982018404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11381 MEADOWGLEN LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770826664",
"telephone_number": "281-589-2040",
"fax_number": "281-589-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11381 MEADOWGLEN LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770826664",
"telephone_number": "281-589-2040",
"fax_number": "281-589-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUAJARDO",
"first_name": "REBECA",
"credential": "CPO, LPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "49-12156",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "LPO49",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.