Carrie Alice Guilfoyle, ANP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Laytonville, CA
NPI 1700316601 · NPPES record last updated Jun 14, 2017
Key facts
- NPI
- 1700316601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- AG02170177 (MD)
- Practice address
- 50 Branscomb Road
Laytonville, CA 95454 - Phone
- (707) 984-6131
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Hill Country Community Clinic
Practice addresses (Care Compare)
29632 E Hwy 299
Round Mountain, CA 96084-8000
Phone (530) 337-5750
Hospital & facility affiliations
- Valley View Healthcare Services LLC
- Mercy Home Care
- Accentcare Home Health of California, Inc
- Medical Home Care Professionals
- Oroville Hospital
- Mercy Medical Center Redding
- Shasta Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171122000834 | CA | Practitioner - Nurse Practitioner | 3476810722 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG02170177 | MD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Hill Country Community Clinic | Current |
Accepting new patients | |
| Hill Country Community Clinic | Current |
Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current |
Accepting new patients | |
| Hill Country Community Clinic | Current | Accepting new patients | |
| Long Valley Health Center | Current |
Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current |
Accepting new patients | |
| Hill Country Community Clinic | Past | Accepting new patients |
Locations
50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131
3270 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3287
1401 Gold St
Redding, CA 96001
Phone (530) 238-7133
1201 Industrial St
Redding, CA 96002
Phone (530) 229-5000
1024 Mistletoe Ln
Ste B
Redding, CA 96002
Phone (530) 232-0845
29632 E Highway 299
Round Mtn, CA 96084
Phone (530) 337-5750
333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AECBBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AG02170177 | MD | Yes |
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
NPI Registry JSON
{
"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
- Thomas A. Bertolli
- Nathan Bevens
- Branscomb Pharmacy Corporation
- Cahto Tribe Health and Human Services
- Chad Eventide
- Judy Hansen
- Jane Keeley
- Gregory Kocher
- Shaelah Ellen Lewis
- Long Valley Fire Protection Dist
All providers in Laytonville, CA · Primary Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.