NPIMap

Individual provider Active NPI

Carrie Alice Guilfoyle, ANP-C

  • Primary Care Nurse Practitioner
  • Laytonville, CA
National Provider Identifier
1700316601
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AG02170177 Issued in MD
Practice address
50 Branscomb Road
Laytonville, CA 95454
Phone
(707) 984-6131
NPI assigned
Jun 14, 2017
Last updated
Jun 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AG02170177 MD Primary

Addresses

Primary practice location

50 Branscomb Road
Laytonville, CA 95454

Mailing address

50 Branscomb Road
Long Valley Health Center
Laytonville, CA 95454
Phone (707) 984-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171122000834 CA Practitioner - Nurse Practitioner 3476810722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Hill Country Community ClinicGroup PAC ID 1052442175, 19 clinicians

Practice addresses (Care Compare)

29632 E Hwy 299
Round Mountain, CA 96084-8000
Phone (530) 337-5750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG02170177MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Community Health Clinic, Inc. CurrentSince May 13, 2022 Accepting new patients
Long Valley Health Center CurrentSince Oct 16, 2017 Accepting new patients
Hill Country Community Clinic Current Accepting new patients
Mendocino Community Health Clinic, Inc. Current Accepting new patients
Hill Country Community Clinic CurrentSince Mar 20, 2024 Accepting new patients
Hill Country Community Clinic CurrentSince Mar 20, 2024 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince May 13, 2022 Accepting new patients
Hill Country Community Clinic Past Accepting new patients

Locations

50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131

1024 Mistletoe Ln
Ste B
Redding, CA 96002
Phone (530) 232-0845

1201 Industrial St
Redding, CA 96002
Phone (530) 229-5000

1401 Gold St
Redding, CA 96001
Phone (530) 238-7133

3270 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3287

29632 E Highway 299
Round Mtn, CA 96084
Phone (530) 337-6243

333 Laws Ave
Ukiah, CA 95482
Phone (707) 468-1010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AECBBA

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1700316601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BRANSCOMB ROAD",
            "address_2": "LONG VALLEY HEALTH CENTER",
            "city": "LAYTONVILLE",
            "state": "CA",
            "postal_code": "95454",
            "telephone_number": "707-984-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BRANSCOMB ROAD",
            "city": "LAYTONVILLE",
            "state": "CA",
            "postal_code": "95454",
            "telephone_number": "707-984-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILFOYLE",
        "first_name": "CARRIE",
        "middle_name": "ALICE",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "AG02170177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laytonville, CA

Sources for this page

Verify at the official NPI Registry.