Individual provider Active NPI

Maegan Guilbeau, MCD, CCC-A

  • Audiologist
  • New Iberia, LA
National Provider Identifier
1235425000
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5684 Issued in LA
Practice address
1100 Lemaire St
New Iberia, LA 70560-4811
Phone
(337) 365-2343
Fax
(337) 365-8661
NPI assigned
Jun 21, 2011
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5684 LA Primary

Addresses

Primary practice location

1100 Lemaire St
New Iberia, LA 70560-4811

Mailing address

1100 Lemaire St
New Iberia, LA 70560-4811
Phone (337) 365-2343

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5684LAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1235425000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LEMAIRE ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604811",
            "telephone_number": "337-365-2343",
            "fax_number": "337-365-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LEMAIRE ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604811",
            "telephone_number": "337-365-2343",
            "fax_number": "337-365-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBEAU",
        "first_name": "MAEGAN",
        "credential": "MCD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "5684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.