Haley Nicole Guggenheim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

505.008197RX Issued in OH

Practice address

4919 Dierker Rd
Columbus, OH 43220-2946

Phone

(614) 457-4952

NPI assigned

Jun 8, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Children'S Community Practices, LLC

  • Pediatrics Physician
  • Mansfield, OH
  • NPI 1386031896
  Medicare reassignment
• Messick & Thompson MDS

  • Pediatrics Physician
  • Columbus, OH
  • NPI 1740222397
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1336833607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 BRINELL ST E APT 131",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143790",
            "telephone_number": "216-513-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 DIERKER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202946",
            "telephone_number": "614-457-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGGENHEIM",
        "first_name": "HALEY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "505.008197RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019123",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Renee Guerrier
• Michael G Guertin, M.D.
• Mellanie Guess
• Brady Guest, PHARMD, RPH
• Famata Gueye
• Adrian Francis Guglielmi, MS
• Anida Guha
• Josh Guhl, LCDC2
• Jalynn Guice, FNP-C
• Guidance Home Care, LLC

• Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.