Individual provider Active NPI

Amber Guillory

  • Specialist
  • Lake Charles, LA
National Provider Identifier
1295468304
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1800 Ryan St Ste 107
Lake Charles, LA 70601-6078
Phone
(337) 602-1137
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X
Specialist 174400000X Primary

Addresses

Primary practice location

1800 Ryan St Ste 107
Lake Charles, LA 70601-6078

Mailing address

1800 Ryan St Ste 107
Lake Charles, LA 70601-6078
Phone (337) 602-1137

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://yonionivsteambar.as.me

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

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1295468304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST STE 107",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-602-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST STE 107",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-602-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "AMBER",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://yonionivsteambar.as.me",
            "affiliation": "N",
            "address_1": "1800 Ryan St Ste 107",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706016078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.