Individual provider Active NPI

Nonye Gerding Guillory

  • Home Health Clinical Nurse Specialist
  • Lewisville, TX
National Provider Identifier
1164923611
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
323691 Issued in TX
Practice address
631 Glenhill LN
Lewisville, TX 75077-2828
Phone
(972) 839-1330
NPI assigned
Feb 21, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse Specialist 364SH0200X 323691 TX Primary

Addresses

Primary practice location

631 Glenhill LN
Lewisville, TX 75077-2828

Mailing address

13716 W Rim Dr Apt 613
Euless, TX 76040-7417
Phone (469) 432-7401

Other identifiers 2

IdentifierTypeStateIssuer
34100892OtherTXDRIVERS LICENSE NUMBER
34100892OtherDRIVERS LICENSE NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
323691TXMDHome Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1164923611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13716 W RIM DR APT 613",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760407417",
            "telephone_number": "469-432-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 GLENHILL LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772828",
            "telephone_number": "972-839-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "NONYE",
        "middle_name": "GERDING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "TX",
            "license": "323691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "34100892",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "34100892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.