Individual provider Active NPI

Shelly Kaye Guillory, APRN C-FNP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1104865336
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04498 Issued in LA
Practice address
277 US 171 #10
Lake Charles, LA 70611
Phone
(337) 217-7762
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04498 LA Primary

Addresses

Primary practice location

277 US 171 #10
Lake Charles, LA 70611

Mailing address

612 Mill Creek Acres
Brookeland, TX 75931
Phone (337) 515-2971

Other identifiers 2

IdentifierTypeStateIssuer
MD2751635OtherLADEA
1465577MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20041018000260 LA Practitioner - Nurse Practitioner 3375503071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

1110 E Saint Peter St
New Iberia, LA 70560-3932
Phone (337) 364-1166

2106 Sampson St
Westlake, LA 70669-3318
Phone (337) 476-2308

277N Hwy 171
Suite 8
Lake Charles, LA 70611-5374
Phone (337) 312-0030

3829 Ryan St
Suite 300
Lake Charles, LA 70605-2815
Phone (337) 399-0001

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04498LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP CurrentSince Jun 23, 2025 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince May 1, 2020 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince May 1, 2020 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Aug 21, 2017 Accepting new patients
Imperial Health, LLP CurrentSince Jun 23, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Aug 21, 2017 Accepting new patients
Emergency Medicine Specialist, Apmc Past Accepting new patients
Center for Orthopaedics Past Accepting new patients
Center for Orthopaedics Past Accepting new patients

Locations (25 of 34)

6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781

2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413

8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520

1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159

965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681

6770 Johnston St
Ste B
Lafayette, LA 70503
Phone (337) 326-5702

3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166

203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401

277 N Highway 171
Ste 10
Lake Charles, LA 70611
Phone (337) 217-7762

3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

160 San Antonio Ave
Many, LA 71449
Phone (318) 353-3412

863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175

3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008

1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664

4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

1050 E Admiral Doyle Dr
Ste A
New Iberia, LA 70560
Phone (337) 376-0515

300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501

1902 Highway 165 S
Oakdale, LA 71463
Phone (318) 215-7806

58330 Belleview Rd
Plaquemine, LA 70764
Phone (225) 320-0703

1316 The Blvd
Rayne, LA 70578
Phone (337) 399-0067

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1104865336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MILL CREEK ACRES",
            "city": "BROOKELAND",
            "state": "TX",
            "postal_code": "75931",
            "telephone_number": "337-515-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 US 171 #10",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70611",
            "telephone_number": "337-217-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "SHELLY",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "APRN C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "MD2751635",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1465577",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.