Individual provider Active NPI

Jacqueline Marie Guishard, LPN

  • Licensed Practical Nurse
  • West Palm Beach, FL
National Provider Identifier
1851839765
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5223853 Issued in FL
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PN5223853OtherFLFLORIDA BOARD OF NURSING
019288200MedicaidFL

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

LicenseStateTypeSpecialty
PN5223853FLMDLicensed Practical Nurse
6905994FLMDAdult Care Home Facility

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.