Individual provider Active NPI

Stacey Ann Gillian Guidry, FNP

  • Family Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1154831139
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134384 Issued in TX
Practice address
4412 Oxbow Dr
McKinney, TX 75070-9148
Phone
(214) 293-9269
Fax
(214) 293-9269
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X AP134384 TX
Family Nurse Practitioner 363LF0000X AP134384 TX Primary

Addresses

Primary practice location

4412 Oxbow Dr
McKinney, TX 75070-9148

Mailing address

6800 Preston Rd
Plano, TX 75024-2505
Phone (214) 293-9269

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180507001476 TX Practitioner - Nurse Practitioner 8123382785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Topcare Medical Group IncGroup PAC ID 8426239153, 71 clinicians
Texas Advance Behavioral HealthGroup PAC ID 5991014391, 6 clinicians

Practice addresses (Care Compare)

1120 E Parker Rd
195 Clinicas Mi Doctor
Plano, TX 75074-5374
Phone (469) 298-1216

410 E Pioneer Pkwy
300 Clinicas Mi Doctor
Grand Prairie, TX 75051-4984
Phone (469) 733-1890

715 N Fielder Rd
Suite B
Arlington, TX 76012-4695
Phone (682) 220-9615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134384TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Texas Advance Behavioral Health CurrentSince Dec 1, 2022 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients

Locations

715 N Fielder Rd
Ste B
Arlington, TX 76012
Phone (682) 220-9615

12377 Merit Dr
Ste 300
Dallas, TX 75251

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

Organizations & group practices 5

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1154831139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242505",
            "telephone_number": "214-293-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 OXBOW DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750709148",
            "telephone_number": "214-293-9269",
            "fax_number": "214-293-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "STACEY ANN",
        "middle_name": "GILLIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "TX",
            "license": "AP134384",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.