ALYSSA MICHELLE GUAJARDO DO - NPI 1730701061 - Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Alyssa Guajardo's NPI number?

The NPI number for Alyssa Guajardo is 1730701061. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Q: What is Alyssa Guajardo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Guajardo was last updated on April 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alyssa Michelle Guajardo Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA MICHELLE GUAJARDO DO (NPI 1730701061) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730701061

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALYSSA MICHELLE GUAJARDOCredential: DO

Location Address550 S JACKSON ST STE A1E17Louisville, KY 40202-1622

Mailing Address550 S Jackson St Ste A1e17Louisville, KY 40202-1622 · (502) 852-8203

Phone(502) 852-8203

Sole ProprietorNo

Enumeration DateMay 8, 2020

Last NPPES UpdateApril 15, 2025

NPPES CertifiedApril 15, 2025

✔ NPI 1730701061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 S JACKSON ST STE A1E17, Louisville, KY 40202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Michelle Guajardo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREL BOWEN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)