Individual provider Active NPI

Nichole Guinn, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1386186229
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9652 Issued in AZ
Practice address
2055 W Frye Rd
Ste 9
Chandler, AZ 85224-6277
Phone
(480) 821-3600
Fax
(480) 857-2667
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN158301 AZ
Family Nurse Practitioner 363LF0000X AP9652 AZ Primary

Addresses

Primary practice location

2055 W Frye Rd
Ste 9
Chandler, AZ 85224-6277

Mailing address

2545 W Frye Rd
Ste 5
Chandler, AZ 85224-6273
Phone (480) 821-3600

Other names 1

  • Nichole C Labonte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161209001132 AZ Practitioner - Nurse Practitioner 5890075725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livi Medical Services LLCGroup PAC ID 8820283039, 11 clinicians

Practice addresses (Care Compare)

3030 N Central Ave
Suite 1200
Phoenix, AZ 85012-2745
Phone (480) 607-0606

Hospital & facility affiliations

  • True Promise Home Health Inc Home health agency, Scottsdale, AZ, CCN 037814

Merit-based Incentive Payment System (MIPS)

Final score
44.32 of 100Reported as group
Quality
56.63
Promoting interoperability
0
Improvement activities
0
Cost
69.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP9652AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Roomservice-Doctorcare CurrentSince May 1, 2018 Accepting new patients
Livi Medical Services LLC CurrentSince Jan 14, 2020 Accepting new patients
Healthy Pregnancy Perinatology, LLC Past Accepting new patients

Locations

3030 N Central Ave
Ste 1200
Phoenix, AZ 85012
Phone (480) 607-0606

7010 E Acoma Dr
Ste 102
Scottsdale, AZ 85254
Phone (480) 575-0576

11000 N Scottsdale Rd
Ste 110
Scottsdale, AZ 85254
Phone (480) 607-0606

6380 E Thomas Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 607-0606

4733 N 1st Ave
Tucson, AZ 85718
Phone (520) 888-3032

Interoperability endpoints

  • Direct secure messaging: nichole.guinn.1@27970.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1386186229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 W FRYE RD",
            "address_2": "STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246273",
            "telephone_number": "480-821-3600",
            "fax_number": "480-857-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W FRYE RD",
            "address_2": "STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246277",
            "telephone_number": "480-821-3600",
            "fax_number": "480-857-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUINN",
        "first_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN158301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "LABONTE",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.