Individual provider Active NPI

Nancy L Guthrie, FNP

  • Family Nurse Practitioner
  • Trenton, MO
National Provider Identifier
1689610438
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
072278 Issued in MO
Practice address
1707 E 9TH St
Trenton, MO 64683-2641
Phone
(660) 339-8500
Fax
(660) 339-8507
NPI assigned
Jun 21, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 072278 MO Primary
Women's Health Nurse Practitioner 363LW0102X 072278 MO

Addresses

Primary practice location

1707 E 9TH St
Trenton, MO 64683-2641

Mailing address

1707 E 9TH St
Trenton, MO 64683-2641
Phone (660) 339-8500

Other practice location 1

189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

Other practice location 2

189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

Other identifiers 1

IdentifierTypeStateIssuer
421053109MedicaidMO

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689610438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832641",
            "telephone_number": "660-339-8500",
            "fax_number": "660-339-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832641",
            "telephone_number": "660-339-8500",
            "fax_number": "660-339-8507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Iowa Blvd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646838343",
            "country_code": "US",
            "telephone_number": "660-358-5750",
            "fax_number": "660-358-5740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Iowa Blvd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646838343",
            "country_code": "US",
            "telephone_number": "660-358-5750",
            "fax_number": "660-358-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "072278",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "072278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421053109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.