Active NPI
Marissa D Guidry, FNP-C
- Family Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07367
- Practice address
- 461 Heymann Blvd
Lafayette, LA 70503-2616 - Phone
- (337) 289-8717
- Fax
- (337) 289-8718
- NPI assigned
- Aug 9, 2013
- Last updated
- Dec 8, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP07367 | LA | Primary |
Addresses
Primary practice location
461 Heymann Blvd
Lafayette, LA 70503-2616
Mailing address
461 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 289-8717
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1216 Camellia Blvd
Lafayette, LA 70508-6667
Phone (337) 769-0069
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP07367 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Kaplan General Hospital, Inc. | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Past | Accepting new patients |
Locations
710 5th St
Gueydan, LA 70542
Phone (337) 536-9262
115 Audubon Blvd
Lafayette, LA 70503
Phone (337) 289-8933
1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
461 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8415
900 E Saint Mary Blvd
Ste 106
Lafayette, LA 70503
Phone (337) 289-8861
4402 U S Highway 167
Ste A
Maurice, LA 70555
Phone (337) 516-3110
4402 U S Highway 167
Ste C
Maurice, LA 70555
2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765
Interoperability endpoints
- mguidry1099192@direct.ochsner.org
Organizations & group practices 5
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.
-
dba dba Family Health Plaza
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Family Medicine Physician
- Kaplan, LA
- NPI 1104527993
-
dba Jennings American Legion Hospital Physician Group
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
-
dba Neurology Services
- Neurology Physician
- Lafayette, LA
- NPI 1568492841
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lafayette, LA
- NPI 1275580151
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
dba St Martin Hospital
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
-
dba Ochsner University Hospital & Clinics
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1265864599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 HEYMANN BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032616",
"telephone_number": "337-289-8717",
"fax_number": "337-289-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 HEYMANN BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032616",
"telephone_number": "337-289-8717",
"fax_number": "337-289-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "MARISSA",
"middle_name": "D",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.