Tina Marie Guynn, BCC

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

License

64581

Practice address

4600 Edmundson Rd
Saint Louis, MO 63134-3806

Phone

(317) 583-4707

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1285311746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 EDMUNDSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 EDMUNDSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343806",
            "telephone_number": "317-583-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYNN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "BCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": "64581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Guttmann, C.P.M.
• Michael B. Gutwein, M.D.
• Sarah Gutzke, DNP
• Bernadette M Guy-Marshall, CRNA
• Juanita Guye
• William B Guyol Jr., MD
• Justinne Eileen Guyton, PHARMD
• Lavarra M Guyton
• Ursha Guyton
• Amanda Leigh Guzikowski, DO

• Religious Nonmedical Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Religious Nonmedical Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.