Active NPI
Lacresha Guillory
- Non-emergency Medical Transport (VAN)
- Beaumont, TX
National Provider Identifier
1235818956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- --
- Practice address
- 2275 W Virginia St
Beaumont, TX 77705-4617 - Phone
- (254) 248-8265
- NPI assigned
- Jul 12, 2023
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | -- | TX | Primary |
Addresses
Primary practice location
2275 W Virginia St
Beaumont, TX 77705-4617
Mailing address
2275 W Virginia St
Beaumont, TX 77705-4617
Phone (254) 248-8265
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
| License | State | Type | Specialty |
|---|---|---|---|
| -- | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1235818956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 W VIRGINIA ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777054617",
"telephone_number": "254-248-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 W VIRGINIA ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777054617",
"telephone_number": "254-248-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "LACRESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-09-20",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.