Candance Marie Guinn, PMHNP-BC, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

122196 Issued in AR

Practice address

1906 W Hillsboro St Ste B
El Dorado, AR 71730

Phone

(870) 639-9322

Fax

(501) 492-6477

NPI assigned

Sep 20, 2019

Last updated

Apr 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Guinn Clinic, PLLCGroup PAC ID 3577996560, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candance.guinn.1@33036.direct.athenahealth.com

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.

• The Guinn Clinic, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1073156741
  Medicare reassignment Care Compare group NPD Authorized official
• Mobley Medical Clinic PLLC

  • Acute Care Nurse Practitioner
  • El Dorado, AR
  • NPI 1871250555
  NPD

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1114578168",
    "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": "870-639-9322",
            "fax_number": "501-492-6477"
        },
        {
            "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": "71730",
            "telephone_number": "870-639-9322",
            "fax_number": "501-492-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINN",
        "first_name": "CANDANCE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "122196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "12296",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5FG01",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "14569857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Walker Griffin, MS, CCC-SLP
• Beverly Griggs
• Mary Katrina Gross, MOTR/L
• Grove Street Physical Therpay Clinic & Rehab SVCS Inc
• Kelsey Noel Groves, PHARMD
• John Andrew Guinn, APRN
• Tammie Gunter
• H K Reddy, MD
• Carmen Michelle Hajistathi, B.A. SLPA
• Barbara A Hall, MS PSYCH EXAMINER

• 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 Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.