Michelle Zavislak Guilbeault, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16427 Issued in TX

Practice address

121 Quest CT
Keller, TX 76248-3748

Phone

(817) 431-9199

Fax

(888) 690-2833

NPI assigned

Dec 12, 2011

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17502/brand/1/csg/1/fhir/r4
• Direct secure messaging: michelle.guilbeault.1@17502.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buffington Family Medicine PLLC

  • Family Medicine Physician
  • Keller, TX
  • NPI 1265626550
  NPD
• Buffington Family Medicine PLLC

  • Clinical Medical Laboratory
  • Keller, TX
  • NPI 1700304375
  NPD
• T Off Men's Health

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1588094593
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1376811836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 QUEST CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483748",
            "telephone_number": "817-431-9199",
            "fax_number": "833-973-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 QUEST CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483748",
            "telephone_number": "817-431-9199",
            "fax_number": "888-690-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBEAULT",
        "first_name": "MICHELLE",
        "middle_name": "ZAVISLAK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106357",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace V Greene, M.S., CCC-SLP
• Sydne T Gregory
• Andrea Griffin
• Ashley Grunewald, RBT
• Jessica Guerra, AUD
• Emma Guilstorf
• Gureciful Home Health Inc
• Ellie Hale
• Randall Stanton Hall, D.O.
• Catherine F Hampton, DO

• Physician Assistant in Keller, TX
• Providers in Keller, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.