Shawanna Marie Guillory, FNP
Individual provider Active NPI Family Nurse Practitioner · Broussard, LA
NPI 1013344274 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1013344274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP07537 (LA)
- Practice address
- 811 Albertson Pkwy Ste G
Broussard, LA 70518-5256 - Phone
- (337) 290-8520
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Church Point Primary Care LLC
Practice addresses (Care Compare)
202 W Murrell St
Church Point, LA 70525-2950
Phone (337) 684-1300
Hospital & facility affiliations
- Acadia St Landry
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131101001213 | LA | Practitioner - Nurse Practitioner | 6204061070 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Church Point Primary Care, LLC | Current |
Accepting new patients | |
| Community Care Health Network LLC | Nurse Practitioner | Current |
Accepting new patients |
| Elite Healthcare Services | Current |
Accepting new patients | |
| Southern Family Medicine, LLC | Family | Past | Accepting new patients |
| Icats Management Integrated Care and Transition Services LLC | Nurse Practitioner | Past |
Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
140 Whittington Pkwy
#100
Louisville, KY 40222
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
811 Albertson Pkwy
Ste G
Broussard, LA 70518
Phone (337) 290-8520
202 Murrell St
Church Point, LA 70525
Phone (337) 684-1300
Interoperability endpoints
- https://api.platform.athenahealth.com/20525/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP07537 | LA | Yes |
Addresses
Primary practice location
811 Albertson Pkwy Ste G
Broussard, LA 70518-5256
Mailing address
PO Box 2651
Opelousas, LA 70571-2651
Phone (337) 384-9219
Other providers in Broussard, LA
- Brigitte Luquette Girouard
- Chelsea Caillier Girouard
- Amainte B Godeaux
- Guidry Rehabilitation LLC
- Lynn M. Guidry
- David Andrew Hall
- Jessica M. Hanna
- Robin Harbourt
- Faith Harris
- Amber Hebert
All providers in Broussard, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.