Active NPI
Sabrina Guillory, CNM
- Advanced Practice Midwife
- Nacogdoches, TX
National Provider Identifier
1104821180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 10423
- Practice address
- 1204 N Mound St
Nacogdoches, TX 75961-4027 - Phone
- (936) 569-4101
- Fax
- (936) 569-4174
- NPI assigned
- Jun 16, 2005
- Last updated
- Aug 31, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 10423 | TX | Primary |
Addresses
Primary practice location
1204 N Mound St
Nacogdoches, TX 75961-4027
Mailing address
1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 569-4101
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 Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10423 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| June Williams Colman MD PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1104821180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 N MOUND ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614027",
"telephone_number": "936-569-4101",
"fax_number": "936-569-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N MOUND ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614027",
"telephone_number": "936-569-4101",
"fax_number": "936-569-4174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "SABRINA",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "10423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.