Alivia Fontenot Guillory, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

204083 Issued in LA

Practice address

1535 W Main Street
Ville Platte, LA 70586

Phone

(375) 062-2943

Fax

(929) 259-5972

NPI assigned

Feb 27, 2019

Last updated

Jul 31, 2024By 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

Medicare fee-for-service enrollment

Enrolled in LA

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Healthcare Solutions LLCGroup PAC ID 9133598055, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DECADD/Endpoint/DECADD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Vital Healthcare Solutions LLC

  dba Magnolia Therapeutics

  • Rural Health Clinic/Center
  • Ville Platte, LA
  • NPI 1598473415

  5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control

  CMS ownership

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.

• Vital Healthcare Solutions LLC

  dba Magnolia Therapeutics

  • Rural Health Clinic/Center
  • Ville Platte, LA
  • NPI 1598473415
  Medicare reassignment Care Compare group NPD
• CLHG-Ville Platte LLC

  dba St Landry Family Healthcare

  • Rural Health Clinic/Center
  • Washington, LA
  • NPI 1376911735
  Medicare reassignment NPD
• LHCG Clxix, LLC

  dba Acadian Family Clinic by Acadian Medical Center

  • Rural Health Clinic/Center
  • Opelousas, LA
  • NPI 1891309506
  Medicare reassignment NPD
• Dennis G Walker Family Clinic

  • Primary Care Clinic/Center
  • Crowley, LA
  • NPI 1760015721
  Medicare reassignment
• CLHG-Acadian LLC

  dba Acadian Family Clinic by Acadian Medical Center

  • Rural Health Clinic/Center
  • Opelousas, LA
  • NPI 1568062446
  NPD

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1164989059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MAIN STREET",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "70586",
            "telephone_number": "337-506-2294",
            "fax_number": "929-259-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MAIN STREET",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "70586",
            "telephone_number": "375-062-2943",
            "fax_number": "929-259-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT GUILLORY",
        "first_name": "ALIVIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "204083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangleine Council on Aging
• Kaycee M Everett, MA, BCBA
• Extremity Cma, LLC
• Sonya Ferguson
• Owen Files, OD
• Fontenot Healthcare Inc.
• Fontenot Healthcare, Inc
• Fontenot Physical Therapy
• Allison Fontenot
• Amy Elizabeth Fontenot, FNP

• Nurse Practitioner in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.