Active NPI
Stephanie Deanne Guignard, CPNP
- Pediatric Nurse Practitioner
- McKinney, TX
National Provider Identifier
1003076803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP123002
- Practice address
- 6421 Pamilla LN
McKinney, TX 75071-6386 - Phone
- (201) 240-3650
- NPI assigned
- Jun 15, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382122 | NY | |
| Registered Nurse | 163W00000X | 683962 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP123002 | TX | Primary |
Addresses
Primary practice location
6421 Pamilla LN
McKinney, TX 75071-6386
Mailing address
6421 Pamilla LN
McKinney, TX 75071-6386
Phone (201) 240-3650
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 382122 | NY | MD | Pediatric Nurse Practitioner |
| AP123002 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moms Choice Mobile Healthcare | Pediatrics | Current | Accepting new patients |
Interoperability endpoints
- hellomomschoice@org249.direct.charmhealth.com
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": "1213488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1003076803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6421 PAMILLA LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716386",
"telephone_number": "201-240-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6421 PAMILLA LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716386",
"telephone_number": "201-240-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIGNARD",
"first_name": "STEPHANIE",
"middle_name": "DEANNE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-15",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "382122",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "683962",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP123002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.