Active NPI
Joshuah Edward Guigar, NURSE PRACTITIONER
- Family Nurse Practitioner
- Midland, MI
National Provider Identifier
1952024747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704338500
- Practice address
- 728 W Wackerly St
Midland, MI 48640-4724 - Phone
- (989) 631-9900
- NPI assigned
- Sep 26, 2022
- Last updated
- Sep 26, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704338500 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Med PLLC | Current | Accepting new patients |
Locations
1800 W Caro Rd
Ste Vi
Caro, MI 48723
Phone (989) 673-6144
Interoperability endpoints
- https://api.platform.athenahealth.com/23356/brand/1/csg/1/fhir/r4
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.