Organization Active NPI

Moms Choice Mobile Healthcare

  • Pediatric Nurse Practitioner
  • Fairview, TX
National Provider Identifier
1699289165
Registry record updated Sep 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2022

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

Authorized official

Name
Mrs. Stephanie Guignard, CPNPNPI 1003076803
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.