Individual provider Active NPI

Jamie Guillot, APRN, FNP-C

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1902251184
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08803 Issued in LA
Practice address
426 Charles St
New Iberia, LA 70560-3876
Phone
(337) 365-4156
Fax
(337) 365-4192
NPI assigned
Apr 26, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08803 LA Primary
Registered Nurse 163W00000X RN136435 LA

Addresses

Primary practice location

426 Charles St
New Iberia, LA 70560-3876

Mailing address

426 Charles St
New Iberia, LA 70560-3876
Phone (337) 365-4156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627000149 LA Practitioner - Nurse Practitioner 7416248281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palliative Medicine of AcadianaGroup PAC ID 6103258496, 6 clinicians

Practice addresses (Care Compare)

2600 Johnston St
Suite 260
Lafayette, LA 70503-3269
Phone (337) 889-5364

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN136435LAMDRegistered Nurse
AP08803LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tynes Mixon, III MD Apmc CurrentSince Jun 9, 2016 Accepting new patients
Palliative Medicine of Acadiana CurrentSince Jun 30, 2021 Accepting new patients
ENT Doctors of Acadiana LLC PastSince Feb 18, 2024 Accepting new patients

Locations

803 Albertson Pkwy
Broussard, LA 70518
Phone (337) 364-3301

2600 Johnston St
Ste 260
Lafayette, LA 70503
Phone (337) 889-5364

401 Youngsville Hwy
Ste 200A
Lafayette, LA 70508
Phone (337) 256-8494

426 Charles St
New Iberia, LA 70560
Phone (337) 365-4156

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1902251184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CHARLES ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603876",
            "telephone_number": "337-365-4156",
            "fax_number": "337-365-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 CHARLES ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603876",
            "telephone_number": "337-365-4156",
            "fax_number": "337-365-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLOT",
        "first_name": "JAMIE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08803",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN136435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.