Individual provider Active NPI

Ryan Guidry, NP

  • Primary Care Nurse Practitioner
  • Youngsville, LA
National Provider Identifier
1225659485
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
21160 Issued in LA
Practice address
2810 Bonin Rd
Youngsville, LA 70592-5600
Phone
(337) 857-5765
NPI assigned
Apr 29, 2020
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 21160 LA Primary

Addresses

Primary practice location

2810 Bonin Rd
Youngsville, LA 70592-5600

Mailing address

139 Broland Dr
Duson, LA 70529-3767
Phone (337) 581-2524

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
I20200520002191 LA Practitioner - Nurse Practitioner 3870924103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

2810 Bonin Rd
Youngsville, LA 70592-5600
Phone (337) 857-5765

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21160LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince May 24, 2020 Accepting new patients
University Hospital and Clinics, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Lafayette Health Ventures Inc CurrentSince May 24, 2020 Accepting new patients
University Hospital & Clinics, Inc. Current Accepting new patients
University Hospital & Clinics Inc CurrentSince Feb 5, 2024 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

409 W Pont des Mouton Rd
Ste B
Lafayette, LA 70507
Phone (337) 806-1525

409 W Pont des Mouton Rd
Ste C
Lafayette, LA 70507
Phone (337) 886-6455

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

4402 U S Highway 167
Ste A
Maurice, LA 70555
Phone (337) 516-3110

2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1225659485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BROLAND DR",
            "city": "DUSON",
            "state": "LA",
            "postal_code": "705293767",
            "telephone_number": "337-581-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 BONIN RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925600",
            "telephone_number": "337-857-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "RYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "21160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.