Individual provider Active NPI

Tori Marie Guidry, FNP-BC

  • Family Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1497497119
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224800 Issued in LA
Practice address
931 N Canal Blvd
Thibodaux, LA 70301-8095
Phone
(985) 446-6381
NPI assigned
Apr 12, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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 224800 LA Primary

Addresses

Primary practice location

931 N Canal Blvd
Thibodaux, LA 70301-8095

Mailing address

931 N Canal Blvd
Thibodaux, LA 70301-8095
Phone (985) 446-6381

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
I20220622002997 LA Practitioner - Nurse Practitioner 5991184822 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icp Louisiana Aco Billing LLCGroup PAC ID 6103225164, 5 clinicians
SHC Medical Partners of Louisiana, LLCGroup PAC ID 2567906381, 5 clinicians

Practice addresses (Care Compare)

333 Texas St
Suite 1300
Shreveport, LA 71101-3783
Phone (855) 498-6767

336 Lonewa LN
Monroe, LA 71203-6521
Phone (501) 267-9870

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224800LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icp Louisiana Aco Billing LLC Nurse Practitioner CurrentSince Nov 7, 2022 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Aug 24, 2022 Accepting new patients
Integrated Care Professionals of Lousiana, LLC Nurse Practitioner CurrentSince Nov 7, 2022 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Aug 24, 2022 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Feb 8, 2025 Accepting new patients
SHC Medical Partners of Louisiana, LLC Nurse Practitioner CurrentSince Oct 5, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Feb 8, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Feb 5, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Feb 5, 2025 Accepting new patients

Locations

3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

1907 Chinaberry St
Franklin, LA 70538
Phone (225) 954-5596

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

740 Justa St
Morgan City, LA 70380
Phone (985) 384-1723

333 Texas St
Ste 1300
Shreveport, LA 71101
Phone (318) 723-9341

Organizations & group practices 10

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.

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1497497119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018095",
            "telephone_number": "985-446-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018095",
            "telephone_number": "985-446-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "TORI",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.