Individual provider Active NPI

Melissa Guilbeau, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1952407728
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP04767 Issued in LA
Practice address
215 Rue Fountaine
Suite 108
Lafayette, LA 70508-5742
Phone
(337) 889-3682
Fax
(337) 534-0798
NPI assigned
Sep 16, 2006
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04767 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP04767 LA Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN100054 LA

Addresses

Primary practice location

215 Rue Fountaine
Suite 108
Lafayette, LA 70508-5742

Mailing address

PO Box 81515
Lafayette, LA 70598-1515
Phone (337) 889-3682

Other identifiers 1

IdentifierTypeStateIssuer
1724262MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050921000049 LA Practitioner - Nurse Practitioner 8224062146 Reassigns benefits to 2 organizations
Practice locations: Mamou, LA; Lafayette, LA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

215 Rue Fontaine
Lafayette, LA 70508-5742

801 Poinciana Ave
Mamou, LA 70554-2243
Phone (337) 468-0423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04767LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville General Hospital CurrentSince Jan 1, 2020 Accepting new patients
Vitality Corporate Solutions Nurse Practitioner Current Accepting new patients
Abbeville General Hospital CurrentSince Jan 1, 2020 Accepting new patients
Focus Behavioral Health Current Accepting new patients
Tiffany Roy, FNP, L.L.C. CurrentSince Jul 31, 2022 Accepting new patients
Vitality Addiction Solutions, LLC Psychiatric/Mental Health PastSince Aug 28, 2022 Accepting new patients
David Stephen Dawes, M.D., a Professional Medical Corporation Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

215 Rue Fontaine
Lafayette, LA 70508
Phone (337) 577-5203

215 Rue Fontaine
Ste 108
Lafayette, LA 70508
Phone (337) 889-3682

2309 E Main St
Ste 500
New Iberia, LA 70560
Phone (337) 364-2383

605 S Lewis St
New Iberia, LA 70560
Phone (337) 465-1195

Organizations & group practices 7

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1952407728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81515",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981515",
            "telephone_number": "337-889-3682",
            "fax_number": "337-534-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RUE FOUNTAINE",
            "address_2": "SUITE 108",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085742",
            "telephone_number": "337-889-3682",
            "fax_number": "337-534-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBEAU",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04767",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP04767",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "LA",
            "license": "RN100054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1724262",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.