Myra Emily Guitreau-Iem, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024187345 Issued in VA

Practice address

621 Emancipation Hwy Ste 201
Fredericksburg, VA 22401-4567

Phone

(540) 372-2028

NPI assigned

Jun 16, 2023

Last updated

Jun 16, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rappahannock Area Community Services BoardGroup PAC ID 8123016318, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rappahannock Area Community Services Board

  • Community/Behavioral Health Agency
  • Fredericksburg, VA
  • NPI 1790742153
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1821773953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 FORBES ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051407",
            "telephone_number": "225-329-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 EMANCIPATION HWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014567",
            "telephone_number": "540-372-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITREAU-IEM",
        "first_name": "MYRA",
        "middle_name": "EMILY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmer Daniel Gudiel-Joshi, VA LICENSE
• Katelyn Marie Gudyka-Massie, DO
• Eydie Ann Guerrero, LCSW
• Ekram G Guirguis, MD
• John R. Guirguis
• Melissa Gulosh, DPM
• James W Gunn, MD
• Rosalie Marie Gunson, NP
• Charles Gunter, DPT
• Vasudha Gupta

• Psychiatric/Mental Health Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.