Active NPI
Ismaelle Guerrier
- Licensed Practical Nurse
- Boston, MA
National Provider Identifier
1639759657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN93418
- Practice address
- HCRC
170 Morton St
Boston, MA 02130 - Phone
- (617) 541-3670
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN93418 | MA | Primary |
Addresses
Primary practice location
HCRC
170 Morton St
Boston, MA 02130
Mailing address
458 Lincoln St Apt 11
Stoughton, MA 02072-4141
Phone (781) 308-3623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LN93418 | Other | MA | MA LPN LICENSE |
Other names 1
- Ms. Ismaelle Guignard
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN93418 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1639759657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 LINCOLN ST APT 11",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724141",
"telephone_number": "781-308-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HCRC",
"address_2": "170 MORTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02130",
"telephone_number": "617-541-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRIER",
"first_name": "ISMAELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN93418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LPN LICENSE",
"identifier": "LN93418",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISMAELLE",
"last_name": "GUIGNARD",
"prefix": "MS.",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.