Active NPI
Carinthia Jaree Guidry, PA-C
- Medical Physician Assistant
- Bedford, TX
National Provider Identifier
1275085656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1305 Airport Fwy Ste 103
Bedford, TX 76021-6603 - Phone
- (682) 647-6500
- Fax
- (469) 320-1268
- NPI assigned
- Nov 1, 2016
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TX | Primary |
Addresses
Primary practice location
1305 Airport Fwy Ste 103
Bedford, TX 76021-6603
Mailing address
1305 Airport Fwy Ste 103
Bedford, TX 76021-6603
Phone (682) 647-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1305 Airport Fwy
Suite 103
Bedford, TX 76021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartplace, PLLC | Current | Accepting new patients | |
| Heartplace, PLLC | Current | Accepting new patients | |
| Heartplace, PLLC | Current | Accepting new patients | |
| Heartplace, PLLC | Past | Accepting new patients |
Locations
902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003
399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100
Interoperability endpoints
- https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1033943394
-
- Cardiovascular Disease Physician
- Franklin, TN
- NPI 1245490747
-
- Cardiovascular Disease Physician
- Franklin, TN
- NPI 1417117912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1275085656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 AIRPORT FWY STE 103",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760216603",
"telephone_number": "682-647-6500",
"fax_number": "469-320-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 AIRPORT FWY STE 103",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760216603",
"telephone_number": "682-647-6500",
"fax_number": "469-320-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "CARINTHIA",
"middle_name": "JAREE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.