Individual provider Active NPI

Stephanie Deanne Guignard, CPNP

  • Pediatric Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1003076803
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP123002 Issued in TX
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

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
382122NYMDPediatric Nurse Practitioner
AP123002TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moms Choice Mobile Healthcare Pediatrics CurrentSince Jun 3, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.