Active NPI
Isabelle Guillou, APRN-FPA, CNM, IBCLC
- Advanced Practice Midwife
- Mesa, AZ
National Provider Identifier
1114232386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 290623
- Practice address
- 4202 E Broadway Rd Unit 87
Mesa, AZ 85206-1062 - Phone
- (630) 209-3250
- Fax
- (480) 558-4384
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 277-300309 | IL | |
| Advanced Practice Midwife | 367A00000X | 377-000306 | IL | |
| Advanced Practice Midwife | 367A00000X | 290623 | AZ | Primary |
Addresses
Primary practice location
4202 E Broadway Rd Unit 87
Mesa, AZ 85206-1062
Mailing address
4202 E Broadway Rd Unit 87
Mesa, AZ 85206-1062
Phone (630) 209-3250
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 |
|---|---|---|---|
| 290623 | AZ | MD | Advanced Practice Midwife |
| 277-300309 | IL | MD | Advanced Practice Midwife |
| 377-000306 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Mindful Birth Arizona LLC | Single Specialty | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1114232386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 E BROADWAY RD UNIT 87",
"city": "MESA",
"state": "AZ",
"postal_code": "852061062",
"telephone_number": "630-209-3250",
"fax_number": "480-558-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 E BROADWAY RD UNIT 87",
"city": "MESA",
"state": "AZ",
"postal_code": "852061062",
"telephone_number": "630-209-3250",
"fax_number": "480-558-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLOU",
"first_name": "ISABELLE",
"credential": "APRN-FPA, CNM, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "277-300309",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "377-000306",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "290623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.