Kim S Guidry, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN039464 Issued in LA

Practice address

133 W 112TH St
Cut Off, LA 70345-3629

Phone

(985) 632-5567

Fax

(985) 632-5573

NPI assigned

Jun 18, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1851654693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W 205TH ST",
            "city": "GALLIANO",
            "state": "LA",
            "postal_code": "703543925",
            "telephone_number": "985-475-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W 112TH ST",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703453629",
            "telephone_number": "985-632-5567",
            "fax_number": "985-632-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "KIM",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "RN039464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malaina Catherine Falgout, RBT
• H Fred Fernandez, DC
• Kristy Galjour, RN
• Jonathan James Gisclair, DPM
• Lauren Griffin, LAT
• Lloyd Joseph Guidry Jr., PHARM.D.
• Rachelle R Guidry, FNP-C
• Health 2000
• Lawrence Joseph Hebert III, FNP
• Lauren Holcomb, PHARM, D,

• All providers in Cut Off, LA
• Community Health Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.