Individual provider Active NPI

Jole-Lanee Guido, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1023461746
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP8838 Issued in AZ
Practice address
2680 S Val Vista Dr
Suite 116
Gilbert, AZ 85295-2152
Phone
(480) 507-5678
Fax
(480) 507-5677
NPI assigned
Jul 18, 2016
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP8838 AZ Primary

Addresses

Primary practice location

2680 S Val Vista Dr
Suite 116
Gilbert, AZ 85295-2152

Mailing address

2680 S Val Vista Dr
Suite 116
Gilbert, AZ 85295-2152
Phone (480) 507-5678

Other identifiers 1

IdentifierTypeStateIssuer
167649MedicaidAZ

Other names 1

  • Jole-Lanee Burkett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114001818 AZ Practitioner - Nurse Practitioner 3173802212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

20401 N 73Rd St
Suite 210
Scottsdale, AZ 85255-4144
Phone (480) 882-7510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8838AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corporation CurrentSince Dec 1, 2018 Accepting new patients
Arizona Centers for Digestive Health LLC CurrentSince Jan 1, 2018 Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 1, 2018 Accepting new patients
Honorhealth Ambulatory Acute Care Past Accepting new patients

Locations

2680 S Val Vista Dr
Ste 116
Gilbert, AZ 85295
Phone (480) 253-5674

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

10181 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 657-3400

10250 N 92nd St
Ste 210
Scottsdale, AZ 85258
Phone (480) 424-7228

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20401 N 73rd St
Ste 210
Scottsdale, AZ 85255
Phone (480) 688-2075

20745 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 882-7510

1626 S Priest Dr
Ste 104
Tempe, AZ 85281
Phone (480) 882-7320

Interoperability endpoints

  • Direct secure messaging: jguido253806@direct.honorhealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1023461746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "SUITE 116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952152",
            "telephone_number": "480-507-5678",
            "fax_number": "480-507-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR",
            "address_2": "SUITE 116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952152",
            "telephone_number": "480-507-5678",
            "fax_number": "480-507-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDO",
        "first_name": "JOLE-LANEE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167649",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLE-LANEE",
            "last_name": "BURKETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.