Tammy Ledet Guillory, HAIR LOSS SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

L440541002 Issued in LA

Practice address

1323 12TH St
Lake Charles, LA 70601-6377

Phone

(337) 240-8454

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1639634686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 12TH ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016377",
            "telephone_number": "337-240-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 12TH ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016377",
            "telephone_number": "337-240-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "TAMMY",
        "middle_name": "LEDET",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "LA",
            "license": "L440541002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HAIR LOSS SPECIALIST",
            "identifier": "1744P3200X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Guillory
• Shelby Guillory, MA, BCBA
• Shelly Kaye Guillory, APRN C-FNP
• Shelly L. Guillory, O.D.
• Stacy Nicole Guillory, BCBA
• Tanya L Guillory
• Warrie Latrice Guillory
• Guillorys Transportation LLC
• Hayley Michelle Guinn
• Gulf Coast Behavior Services LLC

• Prosthetics Case Management in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Prosthetics Case Management in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.