Aja Danielle Guice, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

57257 Issued in NU

Practice address

400 Veterans Ave
Biloxi, MS 39531-2410

Phone

(228) 523-8352

NPI assigned

May 16, 2019

Last updated

May 16, 2019By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1841856770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 WINDMILL AVE",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS AVE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312410",
            "telephone_number": "228-523-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICE",
        "first_name": "AJA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": "57257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCTRC",
            "identifier": "57257",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Work",
            "affiliation": "N",
            "address_1": "400 Veterans Ave",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395312410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gruich Pharmacy Shoppe
• Gruich Pharmacy Shoppe
• Charles J Gruich, M.D.
• Frank George Gruich Jr.
• Mitchell J Gruich, M.D., F.A.A.P.
• Patrick Lewis Guin, DO
• Gulf Coast Abc Pediatrics, Inc.
• Gulf Coast Anesthesia Associates
• Gulf Coast Anesthesia, LLC (Coast Anesthesia)
• Gulf Coast Asthma and Allergy Clinic

• Recreation Therapist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Recreation Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.