Erica M Guillermo, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN111374 Issued in LA

Practice address

578 Valhi Blvd
Houma, LA 70360-5974

Phone

(985) 223-3871

Fax

(985) 223-8779

NPI assigned

Apr 13, 2009

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

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Haydel DermatologyGroup PAC ID 9133260359, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Haydel Dermatology

  • Dermatology Physician
  • Houma, LA
  • NPI 1104994300
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1417190992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 VALHI BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605974",
            "telephone_number": "985-223-3871",
            "fax_number": "985-223-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 VALHI BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605974",
            "telephone_number": "985-223-3871",
            "fax_number": "985-223-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLERMO",
        "first_name": "ERICA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN111374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth J. Guidry, LCSW
• Kerry M Guidry, D.C.
• Kyle Guidry, DPT
• Seth David Guidry, PHARMD
• Gabrielle Marcello Guilbeaux, PA
• Ashton M Guillory, RDN
• Mary E Guillot, PHARM D
• Gulf Coast Surgical Center LLC
• Gulf Coast Teaching Family Service, Inc. (Gulf Coast Social Services)
• Gulf Coast Teaching Family Service, Inc. (Gulf Coast Social Services, Inc.)

• Nurse Practitioner in Houma, LA
• Providers in Houma, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.