Individual provider Active NPI

Carinthia Jaree Guidry, PA-C

  • Medical Physician Assistant
  • Bedford, TX
National Provider Identifier
1275085656
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825002565 TX Practitioner - Physician Assistant 2062875834 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Jan 5, 2026 Accepting new patients
Heartplace, PLLC CurrentSince Jan 5, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.