Active NPI
Lisa Marie Guzman, NP-C
- Family Nurse Practitioner
- Slidell, LA
National Provider Identifier
1619378148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08029
- Practice address
- 2750 Gause Blvd E
Slidell, LA 70461-4149 - Phone
- (985) 639-3777
- NPI assigned
- Sep 16, 2014
- Last updated
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08029 | LA | Primary |
Addresses
Primary practice location
2750 Gause Blvd E
Slidell, LA 70461-4149
Mailing address
2750 Gause Blvd E
Slidell, LA 70461-4149
Phone (985) 639-3777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2376471 | Medicaid | LA | |
| 01673546 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- lguzman415644@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1619378148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614149",
"telephone_number": "985-639-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614149",
"telephone_number": "985-639-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2376471",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01673546",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.