Lacy Fontenot Guedon, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP08776 Issued in LA

Practice address

2104 Loop Rd Ste C
Winnsboro, LA 71295-3341

Phone

(318) 435-6377

Fax

(318) 435-6378

NPI assigned

Aug 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franklin Parish Hospital Service Dist 1Group PAC ID 7810893302, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Franklin Parish Hospital Service Dist 1

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1619143120
  Medicare reassignment Care Compare group NPD
• Franklin Parish Hospital Service Dist 1

  • Rural Health Clinic/Center
  • Gilbert, LA
  • NPI 1669002002
  NPD
• Franklin Parish Hospital Service Dist 1

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1922484757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953344",
            "telephone_number": "318-435-6377",
            "fax_number": "318-435-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD STE C",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953341",
            "telephone_number": "318-435-6377",
            "fax_number": "318-435-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEDON",
        "first_name": "LACY",
        "middle_name": "FONTENOT",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "LA",
            "license": "08776",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5YJC5",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13848326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P02474675",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2421751",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Middleton Gray, FNP
• Roger Dale Grayson II
• Julia G Green, LCSW
• Olevia Nicole Griffin
• Paula Griffing, PNP
• Glenn C. Guilbeau, P.T.
• Nicholas Guilbeau I
• Deanna V Guillot, MS, SLP-CCC
• Katelyn Guillot
• David Gutierrez, MD

• Psychiatric/Mental Health Nurse Practitioner in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.