MR. FERNANDO JAVIER GUILLEN SR. (NPI# 1861974024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861974024 |
| Entity Type | Individual |
| Full Name | MR. FERNANDO JAVIER GUILLEN SR. |
| Credential | PMHNP-BC |
| Practice Address |
826 Anthony Dr. Anthony NM 88021 |
| Mailing Address |
385 Calle De Alegra Ste A Las Cruces NM 88005-3423 |
| Practice Telephone | 5752015135 |
| Practice Fax Number | 5754494052 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2019-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
75069 | NM | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
53565 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 55025340 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2007 Turrentine Dr, Las Cruces, NM 88005 | 5753863234 |
| Street Address |
826 ANTHONY DR. |
| City | ANTHONY |
| State | NM |
| Zip Code | 88021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811025513 | Rebecca M. Guler | Counselor | 826 Anthony Dr., Anthony, NM 88021 | 2007-03-02 |
| 1073173472 | Cesar Lorenzo Rios | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2019-06-18 |
| 1992363675 | Leticia Clemencia Quezada | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2019-05-29 |
| 1326512716 | Maribel Ramirez | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2019-01-18 |
| 1194299792 | Cesar Rodriguez | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2019-01-16 |
| 1205303567 | Erin Maria Mcguinness | Social Worker | 826 Anthony Dr., Anthony, NM 88021 | 2018-10-25 |
| 1245706514 | Sandra Montalvo | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2018-10-15 |
| 1821580507 | Leslie Zarahi Montoya | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2018-05-30 |
| 1194246462 | Ada Del Carmen Salazar | Social Worker | 826 Anthony Dr., Anthony, NM 88021 | 2017-06-27 |
| 1992243521 | Stephanie Frietze | Case Manager/Care Coordinator | 826 Anthony Dr., Anthony, NM 88021 | 2017-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456041 | Ashley Marie Vasquez | Social Worker | 6301 Nm Highway28, Anthony, NM 88021 | 2020-08-07 |
| 1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
| 1023524261 | Roxana Mercado | Counselor | 785 Anthony Dr, Anthony, NM 88021 | 2017-12-26 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| 1336558360 | Anahi Marquez | Social Worker | 92 Shrode Road, Anthony, NM 88021 | 2014-08-04 |
| 1649692211 | Michael Torres | Case Manager/Care Coordinator | 3150 Anthony Rd Hwy 460, Anthony, NM 88021 | 2014-01-15 |
| 1396167243 | Laura Ceniceros | Case Manager/Care Coordinator | 80 Dos Amigos Road, Anthony, NM 88021 | 2014-01-13 |
| 1174951834 | La Frontera Center Inc. Dba La Frontera New Mexico Inc | Clinic/Center | 880 N. Main St, Suite 3a, Anthony, NM 88021 | 2013-10-16 |
| 1689930133 | Oscar Artiaga | Public Health or Welfare | 414 St Anthony St, Serenity Counseling, Anthony, NM 88021 | 2012-04-10 |
| 1609145291 | Maria R Diaz | Behavioral Analyst | 399 San Antonio St., Anthony, NM 88021 | 2011-12-28 |
| Find all providers in zip 88021 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237380 | Bianca Lopez, LLC | Nurse Practitioner | 224 Anthony Dr, Anthony, NM 88021-9366 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151116 | Lauren Jones Sparks | Nurse Practitioner | 9 Calle Venado, Santa Fe, NM 87506-0153 | 2020-10-14 |
| 1013524727 | Clarissa Juarez, LLC | Nurse Practitioner | 3900 Juan Tabo Blvd Ne Ste 4, Albuquerque, NM 87111-3978 | 2020-09-26 |
| 1417573338 | Awareness Integration LLC | Nurse Practitioner | 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124-1760 | 2020-06-17 |
| 1053933721 | Canu Health, LLC | Nurse Practitioner | 2621 Cutler Ave Ne, Albuquerque, NM 87106-2511 | 2020-05-15 |
| 1477173896 | Diane Johnston, Pmhnp, LLC | Nurse Practitioner | 1619 Villa Strada, Santa Fe, NM 87506-4512 | 2020-04-27 |
| 1245869130 | Indigo Psychiatric Services | Nurse Practitioner | 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 | 2020-04-03 |
| 1912534058 | Meredith Gamez | Nurse Practitioner | 5503 Grove Dr, Sunland Park, NM 88063-9594 | 2020-03-26 |
| 1619516358 | Permian Basin Brain Works Inc | Nurse Practitioner | 1601 N Turner St Ste 405, Hobbs, NM 88240-4331 | 2019-12-28 |
| 1194388496 | Anne E. Galanis | Nurse Practitioner | 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 | 2019-04-22 |
| 1215400726 | Albert Hernandez Jr. | Nurse Practitioner | 5690 Santa Teresita Dr Ste A2, Santa Teresa, NM 88008-9211 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. FERNANDO JAVIER GUILLEN SR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.