Individual provider Active NPI

Kim Alison Guidry, FNP-C

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1831530229
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07436 Issued in LA
Practice address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone
(504) 842-4015
Fax
(504) 703-0456
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincent Emergency Group, LLC 43 clinicians
Bonita Emergency Group LLC 26 clinicians
Hancock Emergency Group LLC 28 clinicians
Belle Chasse Emergency Group LLC 95 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 280-2200

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 483-0011

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8600

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

Hospital & facility affiliations

  • Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130913000716 LA Practitioner - Nurse Practitioner 4587808456 Reassigns benefits to 9 organizations
I20230112001364 MS Practitioner - Nurse Practitioner 4587808456 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07436LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Emergency Group LLC Nurse Practitioner CurrentSince Dec 7, 2022 Accepting new patients
St. John Emergency Group LLC Nurse Practitioner CurrentSince Oct 31, 2023 Accepting new patients
Kenner Emergency Group LLC Nurse Practitioner CurrentSince Jul 15, 2013 Accepting new patients
Bonita Emergency Group, LLC Nurse Practitioner CurrentSince May 13, 2024 Accepting new patients
Mayfair Emergency Group, LLC Nurse Practitioner CurrentSince Sep 18, 2022 Accepting new patients
Vincent Emergency Group, LLC Nurse Practitioner CurrentSince Sep 18, 2022 Accepting new patients
Luling Emergency Group LLC Nurse Practitioner CurrentSince Oct 31, 2023 Accepting new patients
Belle Chasse Emergency Group LLC Nurse Practitioner CurrentSince May 3, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 18, 2016 Accepting new patients
St Mary Emergency Group LLC Nurse Practitioner CurrentSince Sep 18, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 18, 2016 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905701 MS
Family Nurse Practitioner 363LF0000X AP07436 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Mailing address

6057 Warrington Dr
New Orleans, LA 70122-3407
Phone (504) 286-5958

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2342916MedicaidLA
07907522MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2023.

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1831530229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 WARRINGTON DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223407",
            "telephone_number": "504-286-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4015",
            "fax_number": "504-703-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "KIM",
        "middle_name": "ALISON",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905701",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342916",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07907522",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.