Lakedrian Guy, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

980 Courthouse Rd Apt 1521
Gulfport, MS 39507-4298

Phone

(850) 450-7044

NPI assigned

Jul 13, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1679828842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 COURTHOUSE RD APT 1521",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395074298",
            "telephone_number": "850-450-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 COURTHOUSE RD APT 1521",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395074298",
            "telephone_number": "850-450-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "LAKEDRIAN",
        "name_prefix": "Mr.",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Cockrell Gully, SLP
• Richa Gupta, M.D.
• Ember Ann Guthrie, FNP AND APMHNP
• James Thomas Guthrie Jr., LCSW
• Guts PLLC
• Yeinil Guzman, P-LPC
• Hannah Gwin, M.D.
• Nancy Ha
• Hage Family Dentistry
• Laurence Matthew Hage, D.M.D.

• All providers in Gulfport, MS
• Independent Duty Medical Technicians in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.