Individual provider Active NPI

Karla J Guevara, FNP

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1982253183
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP141964 Issued in TX
Practice address
114 W Castellano Dr
El Paso, TX 79912-6119
Phone
(915) 532-3721
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP141964 TX Primary

Addresses

Primary practice location

114 W Castellano Dr
El Paso, TX 79912-6119

Mailing address

114 W Castellano Dr
El Paso, TX 79912-6119
Phone (915) 240-4509

Other names 1

  • Karla Javive Guevara Villegas Former name

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
I20191029003113 TX Practitioner - Nurse Practitioner 1456683119 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Efren Buff de la Rosa, DPM, PA CurrentSince Oct 1, 2019 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince May 2, 2022 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince May 2, 2022 Accepting new patients

Locations

6000 Northern Pass Dr
Bldg D
El Paso, TX 79911
Phone (915) 289-8988

114 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-3721

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Organizations & group practices 4

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1982253183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W CASTELLANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126119",
            "telephone_number": "915-240-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CASTELLANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126119",
            "telephone_number": "915-532-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "KARLA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "GUEVARA VILLEGAS",
            "middle_name": "JAVIVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.