Individual provider Active NPI

Sheree Mireille Guimont

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1467741090
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q0059 Issued in TX
Practice address
3434 W Illinois Ave Ste 3063
Dallas, TX 75211-8709
Phone
(214) 623-1900
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q0059 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3434 W Illinois Ave Ste 3063
Dallas, TX 75211-8709

Mailing address

3434 W Illinois Ave Ste 3063
Dallas, TX 75211-8709
Phone (214) 623-1900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220128001600 TX Practitioner - Pediatric Medicine 7416349204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Dec 1, 2021 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Dec 1, 2021 Accepting new patients
Physicians for Children Past Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients
Topcare Medical Group Inc Past Accepting new patients

Locations

1935 Medical District Dr
#908
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

2350 N Stemmons Fwy
Ste F
Dallas, TX 75207

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Interoperability endpoints

  • Direct secure messaging: sguimont37269@direct.childrens.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1467741090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE STE 3063",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118709",
            "telephone_number": "214-623-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE STE 3063",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118709",
            "telephone_number": "214-623-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIMONT",
        "first_name": "SHEREE",
        "middle_name": "MIREILLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q0059",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.