Individual provider Active NPI

Julie D Guillet, PA-C

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1760868624
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200861 Issued in LA
Practice address
5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone
(225) 358-4853
Fax
(225) 358-2350
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200861 LA Primary

Addresses

Primary practice location

5439 Airline Hwy
Baton Rouge, LA 70805-1712

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (257) 655-7272

Other practice location 1

602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone (985) 447-5500

Other practice location 2

602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone (985) 447-5500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jguillet131410@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916001555 LA Practitioner - Physician Assistant 9032426556 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone (225) 358-4853

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care LLC CurrentSince Mar 13, 2020 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Aug 1, 2018 Accepting new patients
Convenient Care LLC CurrentSince Mar 13, 2020 Accepting new patients

Locations

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

Interoperability endpoints

  • Direct secure messaging: jguillet131410@direct.casso.us.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1760868624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "257-655-7272",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051712",
            "telephone_number": "225-358-4853",
            "fax_number": "225-358-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 N Acadia Rd",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703014823",
            "country_code": "US",
            "telephone_number": "985-447-5500",
            "fax_number": "985-449-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 N Acadia Rd",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703014823",
            "country_code": "US",
            "telephone_number": "985-447-5500",
            "fax_number": "985-449-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLET",
        "first_name": "JULIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jguillet131410@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jguillet131410@direct.casso.us.com",
            "address_1": "5439 Airline Hwy",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708051712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5439 Airline Hwy",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708051712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.