Active NPI
Moms Choice Mobile Healthcare
- Pediatric Nurse Practitioner
- Fairview, TX
National Provider Identifier
1699289165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Legal business name
- MOMS CHOICE MOBILE HEALTHCARE
- Practice address
- 1730 Big Bend Blvd
Fairview, TX 75069-1222 - Phone
- (201) 240-3650
- Fax
- (972) 805-9030
- NPI assigned
- Nov 20, 2017
- Last updated
- Sep 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stephanie Guignard, CPNP
- Title
- Owner
- Phone
- (201) 240-3650
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NU | Primary |
Addresses
Primary practice location
1730 Big Bend Blvd
Fairview, TX 75069-1222
Mailing address
4261 E University Dr Ste 30-177
Prosper, TX 75078-9152
Phone (201) 240-3650
National Provider Directory
National Provider DirectoryLocations
4261 E University Dr
Ste 30177
Prosper, TX 75078
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662768000000",
"number": "1699289165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4261 E UNIVERSITY DR STE 30-177",
"city": "PROSPER",
"state": "TX",
"postal_code": "750789152",
"telephone_number": "201-240-3650",
"fax_number": "972-805-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 BIG BEND BLVD",
"city": "FAIRVIEW",
"state": "TX",
"postal_code": "750691222",
"telephone_number": "201-240-3650",
"fax_number": "972-805-9030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMS CHOICE MOBILE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-20",
"last_updated": "2022-09-10",
"certification_date": "2022-09-10",
"status": "A",
"authorized_official_last_name": "GUIGNARD",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-240-3650",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPNP"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.