Individual provider Active NPI

Elise Marie Guidry, NP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1174089635
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202109 Issued in LA
Practice address
724 E Boston St
Covington, LA 70433-2910
Phone
(985) 234-9973
Fax
(844) 749-3463
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202109 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202109 LA

Addresses

Primary practice location

724 E Boston St
Covington, LA 70433-2910

Mailing address

724 E Boston St
Covington, LA 70433-2910
Phone (985) 234-9973

Other names 1

  • Mrs. Elise Marie Guidry Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190531000597 LA Practitioner - Nurse Practitioner 2668705989 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care and Wellness Center Family CurrentSince Oct 28, 2024 Accepting new patients
Vip Wellness, LLC CurrentSince Nov 27, 2022 Accepting new patients
SLR Holdings LLC Past Accepting new patients

Locations

2511 Highway 190 E
Hammond, LA 70401
Phone (985) 543-6800

10 Saint Ann Dr
Mandeville, LA 70471
Phone (985) 788-7676

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25645/brand/3/csg/41/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1174089635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E BOSTON ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332910",
            "telephone_number": "985-234-9973",
            "fax_number": "844-749-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E BOSTON ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332910",
            "telephone_number": "985-234-9973",
            "fax_number": "844-749-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "ELISE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "202109",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "202109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "GUIDRY",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "ELISE MARIE ARGUETA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.