Active NPI
Penni L Guidry, CRNA
- Certified Registered Nurse Anesthetist
- Port Arthur, TX
National Provider Identifier
1144339086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 701690
- Practice address
- 3600 Gates Blvd
Port Arthur, TX 77642-3858 - Phone
- (409) 989-5170
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 6, 2011
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 701690 | TX | Primary |
Addresses
Primary practice location
3600 Gates Blvd
Port Arthur, TX 77642-3858
Mailing address
6350 Chasse Stone Dr
Orange, TX 77632-1515
Phone (409) 882-1647
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 Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lafayette Anesthesia Services
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1326064742
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1144339086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 CHASSE STONE DR",
"city": "ORANGE",
"state": "TX",
"postal_code": "776321515",
"telephone_number": "409-882-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GATES BLVD",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776423858",
"telephone_number": "409-989-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "PENNI",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "701690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.