James B Guynn, CFNP
Individual provider Active NPI Family Nurse Practitioner · Bloomfield, NM
NPI 1497786354 · NPPES record last updated Feb 24, 2020
Key facts
- NPI
- 1497786354
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP00126 (NM)
- Practice address
- 100 N Church St Ste C
Bloomfield, NM 87413-5754 - Phone
- (505) 609-6675
- Fax
- (505) 609-6579
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP00126 | NM | Yes |
Addresses
Primary practice location
100 N Church St Ste C
Bloomfield, NM 87413-5754
Mailing address
PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258
Other practice location 1
4820 E Main St
Farmington, NM 87402-8660
Phone (505) 609-6495
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09228772 | Medicaid | NM |
Other providers in Bloomfield, NM
- Aimee M Garrett
- Selece Gathings
- Amber Giles
- Robin Irvin Glass
- Andrea Gonzales
- William R Hall
- Lisa Hamilton
- Bryan Wayne Harber
- Cheryl Hare
- Douglas K Harris
All providers in Bloomfield, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.