Individual provider Active NPI

Ismaelle Guerrier

  • Licensed Practical Nurse
  • Boston, MA
National Provider Identifier
1639759657
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN93418 Issued in MA
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

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LN93418OtherMAMA LPN LICENSE

Other names 1

  • Ms. Ismaelle Guignard Former name

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

LicenseStateTypeSpecialty
LN93418MAMDLicensed 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.

Verify at the official NPI Registry.