Active NPI
Jude L Guillory, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP05767
- Practice address
- 1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5783 - Phone
- (337) 988-5646
- Fax
- (337) 988-4298
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP05767 | LA | Primary |
Addresses
Primary practice location
1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5783
Mailing address
1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5783
Phone (337) 988-5646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1889300 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5784
Phone (337) 988-5646
1211 Coolidge Blvd
Suite 302
Lafayette, LA 70503-2636
Phone (337) 289-8249
2390 W Congress St
University Hosp Clinics
Lafayette, LA 70506-4205
Phone (337) 261-6000
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
- Park Place Surgical Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP05767 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Precision Anesthesia of Lafayette LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology & Pain Consultants, LLC | Current | Accepting new patients |
Locations
1103 Kaliste Saloom Rd
Ste 304
Lafayette, LA 70508
Phone (318) 981-3546
1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775
4811 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 237-8119
443 Heymann Blvd
Lafayette, LA 70503
Phone (337) 269-1126
4811 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 237-8119
1211 Coolidge Blvd
Ste 302
Lafayette, LA 70503
Phone (337) 289-8245
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1841287901
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Certified Registered Nurse Anesthetist
- Lafayette, LA
- NPI 1285117879
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1215996632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1053554030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 KALISTE SALOOM RD",
"address_2": "SUITE 304",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705085783",
"telephone_number": "337-988-5646",
"fax_number": "337-988-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 KALISTE SALOOM RD",
"address_2": "SUITE 304",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705085783",
"telephone_number": "337-988-5646",
"fax_number": "337-988-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "JUDE",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP05767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1889300",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.