Individual provider Active NPI

Stephanie Nicole Guzman, APRN, FNP-C

  • Family Nurse Practitioner
  • Paris, TX
National Provider Identifier
1407476005
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145342 Issued in TX
Practice address
1601 Lamar Ave
Paris, TX 75460-4660
Phone
(903) 741-1101
Fax
(903) 706-5136
NPI assigned
Apr 23, 2020
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145342 TX Primary

Addresses

Primary practice location

1601 Lamar Ave
Paris, TX 75460-4660

Mailing address

PO Box 2062
Mount Pleasant, TX 75456-2062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211123000635 TX Practitioner - Nurse Practitioner 0345639803 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145342TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compliance & Screening Services CSS CurrentSince Dec 1, 2024 Accepting new patients
B. C. Muthappa, M.D., P.a. CurrentSince Nov 1, 2021 Accepting new patients

Locations

120 Farm Road 2825
Clarksville, TX 75426
Phone (903) 427-2201

121 Gilmer Rd
Longview, TX 75604
Phone (903) 232-7144

1601 Lamar Ave
Paris, TX 75460
Phone (903) 715-1516

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1407476005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2062",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754562062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604660",
            "telephone_number": "903-741-1101",
            "fax_number": "903-706-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.