Active NPI
Jacqueline Marie Guishard, LPN
- Licensed Practical Nurse
- West Palm Beach, FL
National Provider Identifier
1851839765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5223853
- Practice address
- 608 S Lois CT
West Palm Beach, FL 33413-3459 - Phone
- (561) 687-8828
- NPI assigned
- Feb 11, 2017
- Last updated
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6905994 | FL | |
| Licensed Practical Nurse | 164W00000X | PN5223853 | FL | Primary |
Addresses
Primary practice location
608 S Lois CT
West Palm Beach, FL 33413-3459
Mailing address
608 S Lois CT
West Palm Beach, FL 33413-3459
Phone (561) 687-8828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN5223853 | Other | FL | FLORIDA BOARD OF NURSING |
| 019288200 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5223853 | FL | MD | Licensed Practical Nurse |
| 6905994 | FL | MD | Adult Care Home Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaechell's Adult Family Care Home, Inc. | Adult Care Home | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Care Home Facility
- West Palm Beach, FL
- NPI 1083896369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1851839765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 S LOIS CT",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334133459",
"telephone_number": "561-687-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 S LOIS CT",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334133459",
"telephone_number": "561-687-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUISHARD",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-11",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6905994",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5223853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF NURSING",
"identifier": "PN5223853",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019288200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.