Active NPI
Michelle Guillot
- Family Nurse Practitioner
- Austin, TX
National Provider Identifier
1124783428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1058052
- Practice address
- 1108 Lavaca St Ste 110-320
Austin, TX 78701-2172 - Phone
- (512) 477-4088
- Fax
- (512) 482-0390
- NPI assigned
- Nov 2, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1058052 | TX | Primary |
Addresses
Primary practice location
1108 Lavaca St Ste 110-320
Austin, TX 78701-2172
Mailing address
2501 La Rochelle Dr
Cedar Park, TX 78613-4720
Phone (512) 983-1341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211130001223 | TX | Practitioner - Nurse Practitioner | 5799175063 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1058052 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Palliative Care Associates | Current | Accepting new patients | |
| Austin Geriatric Specialists, PLLC | Current | Accepting new patients | |
| Hni Medical Services | Past | Accepting new patients | |
| Hospice Austin | Past | Accepting new patients |
Locations
1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390
11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915
4107 Spicewood Springs Rd
Ste 100
Austin, TX 78759
Phone (512) 342-4700
Interoperability endpoints
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1376575886
TX
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1487686226
TX
-
- Hospitalist Physician
- Austin, TX
- NPI 1366735169
-
- Community Based Hospice Care Agency
- Austin, TX
- NPI 1376503201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1124783428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 LA ROCHELLE DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134720",
"telephone_number": "512-983-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 LAVACA ST STE 110-320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012172",
"telephone_number": "512-477-4088",
"fax_number": "512-482-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLOT",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1058052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.