Active NPI
Kelly Guillory
- Family Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 749155
- Practice address
- 11300 N Lamar Blvd
Austin, TX 78753-2665 - Phone
- (612) 225-1538
- NPI assigned
- Sep 3, 2008
- Last updated
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 749155 | TX | Primary |
Addresses
Primary practice location
11300 N Lamar Blvd
Austin, TX 78753-2665
Mailing address
11300 N Lamar Blvd
Austin, TX 78753-2665
Phone (512) 739-8866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Observation Medicine Services of Texas PLLC | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Minuteclinic Telehealth Services of Texas Association | Family | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Current | Accepting new patients |
Locations
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
11300 N Lamar Blvd
Austin, TX 78753
Phone (512) 462-3820
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
1500 Red River St
Austin, TX 78701
Phone (512) 324-0150
3500 W Slaughter Ln
Austin, TX 78749
Phone (512) 292-6832
5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846
9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
2051 Gattis School Rd
Ste 250
Round Rock, TX 78664
Phone (512) 324-4813
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kelly.guillory.1@8363.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1922564301
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Round Rock, TX
- NPI 1134606353
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1609076330
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Neurological Surgery Physician
- Kyle, TX
- NPI 1730412388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1730337874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787532665",
"telephone_number": "512-739-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 N LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787532665",
"telephone_number": "612-225-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2023-08-09",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "749155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Guiellermo Tays LLC
- Megan Elizabeth Guiffre, LMSW
- Miriam Paulina Guijarro Escobedo, M.S. CCC-SLP
- Ashley Melissa Guillen
- Guillermo Vieiro LLC (Home Helpers Home Care of South Austin, TX)
- Leslie Sledge Guillory, FNP
- Michelle Guillot
- Miguel Guimbarda, OTR
- Christopher Pete Guinn, C. PED
- Ashley Guinta, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.