Sandra Kay Johnson Guess, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 693 Issued in KY

Practice address

2501 Kentucky Ave
Paducah, KY 42003-3813

Phone

(270) 217-1203

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75949

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.

• Paducah Wome'S Clinic

  • Obstetrics & Gynecology Nurse Practitioner
  • Paducah, KY
  • NPI 1114198561
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1952398083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7044",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027044",
            "telephone_number": "270-217-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KENTUCKY AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033813",
            "telephone_number": "270-217-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON GUESS",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA 693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95004685",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000313069",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jernigan, APRN
• Elizabeth Jerrell, PHARMD
• Jessica Richards Speech Therapy
• Susan Jett
• John Broadbent, MD PLLC
• Audrianna Johnson
• Barbara Johnson
• Benjamin Lee Johnson II, D.M.D.
• Carl M Johnson, M.D.
• Jeff Johnson, M.D.

• All providers in Paducah, KY
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.