Individual provider Active NPI

Jed Ernie Guilbeau, CRNA

  • Certified Registered Nurse Anesthetist
  • Webster, TX
National Provider Identifier
1902899529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
227383 Issued in TX
Practice address
333 N Texas Ave
Webster, TX 77598-4966
Phone
(281) 335-1700
Fax
(281) 335-1708
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 227383 TX Primary

Addresses

Primary practice location

333 N Texas Ave
Webster, TX 77598-4966

Mailing address

PO Box 4346
Dept 398
Houston, TX 77210-4346
Phone (281) 358-8114

Other identifiers 4

IdentifierTypeStateIssuer
037399OtherTXRECERTIFICATION OF AANA
82708UOtherTXBCBS
85291UOtherTXBCBS
P00233461OtherTXRAILROAD MEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
37399TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesia Partners, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Medical Anesthesia Associates, LLP Past Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902899529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT 398",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "281-358-8114",
            "fax_number": "281-358-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N TEXAS AVE",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984966",
            "telephone_number": "281-335-1700",
            "fax_number": "281-335-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBEAU",
        "first_name": "JED",
        "middle_name": "ERNIE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "227383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECERTIFICATION OF AANA",
            "identifier": "037399",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82708U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85291U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00233461",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.