Grace Kim Guillory, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

R856106 Issued in MS

Practice address

2470 Flowood Drive
Flowood, MS 39232

Phone

(877) 554-4257

Fax

(601) 983-2845

NPI assigned

Mar 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kim Guillory Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1699946863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "GRACE",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MS",
            "license": "R856106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "GUILLORY",
            "prefix": "MRS.",
            "credential": "RNFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Greggory E. Tharp DMD Inc
• Gregory Gordon MD, PLLC
• Caleb Van Gressett, DC
• Anna Kathryn Griffin, FNP-C
• Leon M Grigoryev, MD
• Avinash C Gulanikar, M.D,
• Ashley Caroline Gullette-Torres, FNP-C
• Jamie Guyton, LPC
• Karla Haik, D.M.D.
• Callie Brown Hall, FNP-C

• Registered Nurse First Assistant in Flowood, MS
• Providers in Flowood, MS by specialty
• Registered Nurse First Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.