Individual provider Active NPI

Amy Guidry, APRN, FNP-BC

  • Family Nurse Practitioner
  • Iowa, LA
National Provider Identifier
1497340343
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215693 Issued in LA
Practice address
621 E Miller Ave
Iowa, LA 70647-4008
Phone
(337) 358-2701
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210719000689 LA Practitioner - Nurse Practitioner 6608278387 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Mar 17, 2023 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Mar 17, 2023 Accepting new patients

Locations

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

1429 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 426-0919

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 215693 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

621 E Miller Ave
Iowa, LA 70647-4008

Mailing address

14 Fairway Dr
Lake Charles, LA 70605-5902
Phone (337) 302-7955

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2021.

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1497340343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FAIRWAY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055902",
            "telephone_number": "337-302-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E MILLER AVE",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706474008",
            "telephone_number": "337-358-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "AMY",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "215693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa, LA

Sources for this page

Verify at the official NPI Registry.