Individual provider Active NPI

Martha Carolina Guiris Coutino, LVN

  • Licensed Vocational Nurse
  • Harlingen, TX
National Provider Identifier
1982242616
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
330354 Issued in TX
Practice address
2102 W Teege Ave
Harlingen, TX 78550-4667
Phone
(956) 412-3337
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 330354 TX Primary

Addresses

Primary practice location

2102 W Teege Ave
Harlingen, TX 78550-4667

Mailing address

2102 W Teege Ave
Harlingen, TX 78550-4667
Phone (956) 412-3337

Other identifiers 1

IdentifierTypeStateIssuer
1790847531MedicaidTX

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
330354TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Health Services, Inc PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1982242616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 W TEEGE AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785504667",
            "telephone_number": "956-412-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 W TEEGE AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785504667",
            "telephone_number": "956-412-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRIS COUTINO",
        "first_name": "MARTHA",
        "middle_name": "CAROLINA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "330354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790847531",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.