Active NPI
Holly R Guidry, D.C.
- Chiropractor
- Deridder, LA
National Provider Identifier
1871733964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1500
- Practice address
- 1606 N Pine St
Deridder, LA 70634-2420 - Phone
- (337) 462-3055
- NPI assigned
- Mar 2, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1500 | LA | Primary |
Addresses
Primary practice location
1606 N Pine St
Deridder, LA 70634-2420
Mailing address
17502 Highway 171
Ragley, LA 70657-7122
Phone (337) 275-0421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
204 Petroleum Dr
Lafayette, LA 70508-3880
Phone (337) 266-9949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deridder Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
| Great South Management LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Lafayette, LA
- NPI 1437151594
-
- Chiropractor
- Deridder, LA
- NPI 1013171776
-
- Chiropractor
- Deridder, LA
- NPI 1366470114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1871733964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17502 HIGHWAY 171",
"city": "RAGLEY",
"state": "LA",
"postal_code": "706577122",
"telephone_number": "337-275-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 N PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342420",
"telephone_number": "337-462-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "HOLLY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.