Active NPI
Pamela Knight Guidry, MS, ATC, LAT
- Athletic Trainer
- Lake Charles, LA
National Provider Identifier
1841494580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- J00135
- Practice address
- PO Box 91705
Lake Charles, LA 70609-0001 - Phone
- (337) 477-0248
- NPI assigned
- Jun 14, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | J00135 | LA | Primary |
Addresses
Primary practice location
PO Box 91705
Lake Charles, LA 70609-0001
Mailing address
111 Mallard St
Lake Charles, LA 70605-6515
Phone (337) 474-0349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J00135 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841494580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MALLARD ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056515",
"telephone_number": "337-474-0349",
"fax_number": "337-477-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 91705",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706090001",
"telephone_number": "337-477-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "PAMELA",
"middle_name": "KNIGHT",
"name_prefix": "Ms.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "J00135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.