Individual provider Active NPI

Joshuah Edward Guigar, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Midland, MI
National Provider Identifier
1952024747
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704338500 Issued in MI
Practice address
728 W Wackerly St
Midland, MI 48640-4724
Phone
(989) 631-9900
NPI assigned
Sep 26, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704338500 MI Primary

Addresses

Primary practice location

728 W Wackerly St
Midland, MI 48640-4724

Mailing address

728 W Wackerly St
Midland, MI 48640-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230921002947 MI Practitioner - Nurse Practitioner 5799139911 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704338500MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Med PLLC CurrentSince Sep 20, 2023 Accepting new patients

Locations

1800 W Caro Rd
Ste Vi
Caro, MI 48723
Phone (989) 673-6144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23356/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joshuah.guigar.1@23356.direct.athenahealth.com

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1952024747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404724",
            "telephone_number": "989-631-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIGAR",
        "first_name": "JOSHUAH",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704338500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.