The Guinn Clinic, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THE GUINN CLINIC, PLLC

Practice address

1906 W Hillsboro St Ste B
El Dorado, AR 71730-6806

Phone

(870) 814-4113

Fax

(501) 492-6477

NPI assigned

Oct 24, 2019

Last updated

Jan 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Candance Marie Guinn, APRN-CNPNPI 1114578168

Title

Pmhnp-BC, Aprn-CNP/Owner

Phone

(870) 814-4113

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candance Marie Guinn, PMHNP-BC, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1114578168
  Medicare reassignment Care Compare group NPD Authorized official
• John Andrew Guinn, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1386060010

  Family

  Medicare reassignment Care Compare group NPD
• Lizbeth Laura Herrera, MNSC, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1043867914
  Medicare reassignment Care Compare group NPD
• Jessica P Mobley, APN

  • Acute Care Nurse Practitioner
  • El Dorado, AR
  • NPI 1689606261

  Family

  NPD
• Amy Perez, LPC

  • Mental Health Counselor
  • Conway, AR
  • NPI 1811327703
  NPD (past)
• Julie Marie Wylie, ANP-C

  • Adult Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1932377256
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1073156741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11898",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717300037",
            "telephone_number": "870-814-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W HILLSBORO ST STE B",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306806",
            "telephone_number": "870-814-4113",
            "fax_number": "501-492-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GUINN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "CANDANCE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PMHNP-BC, APRN-CNP/OWNER",
        "authorized_official_telephone_number": "870-814-4113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pending",
            "affiliation": "N",
            "endpointDescription": "pending",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pending",
            "address_1": "1906 W Hillsboro St Ste B",
            "city": "El Dorado",
            "state": "AR",
            "country_code": "US",
            "postal_code": "717306806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.

Verify at the official NPI Registry.