MRS. LACY FONTENOT GUEDON (NPI# 1922484757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922484757 |
| Entity Type | Individual |
| Full Name | MRS. LACY FONTENOT GUEDON |
| Credential | PMHNP |
| Practice Address |
2104 Loop Rd Ste C Winnsboro LA 71295-3341 |
| Mailing Address |
Po Box 1300 Winnsboro LA 71295-3344 |
| Practice Telephone | 3184356377 |
| Practice Fax Number | 3184356378 |
| Mailing Telephone | 3184356377 |
| Mailing Fax Number | 3184356378 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2016-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
08776 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2421751 | 05 |
| Street Address |
2104 LOOP RD STE C |
| City | WINNSBORO |
| State | LA |
| Zip Code | 71295-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851124 | Franklin Parish Hospital Service District No1 | Clinic/Center | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2006-05-24 |
| 1881186583 | Kasey Robinson | Nurse Practitioner | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2018-05-30 |
| 1093218547 | Ashley Anderson | Nurse Practitioner | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2018-03-12 |
| 1326554536 | Ann Braswell Brown | Counselor | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2017-12-26 |
| 1396267506 | Christian Danielle Specks | Social Worker | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2017-07-10 |
| 1316307895 | Julie Heuduck | Nurse Practitioner | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2016-02-26 |
| 1740672583 | Kathryn Lonsberry | Physician Assistant | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2015-03-03 |
| 1740605484 | Julia Michelle Casiday | Nurse Practitioner | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2014-03-04 |
| 1164867255 | John Quitman Gowan | Social Worker | 2104 Loop Rd Ste C, Winnsboro, LA 71295 | 2013-05-03 |
| 1578842027 | Paula Griffing | Nurse Practitioner | 2104 Loop Rd Ste C, Winnsboro, LA 71295-3341 | 2011-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
| 1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
| 1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
| 1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
| Find all providers in zip 71295 | ||||
| Taxonomy Code | 364SP0810X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558829382 | Monte Dale Moore | Clinical Nurse Specialist | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2019-03-11 |
Please comment or provide details below to improve the information on MRS. LACY FONTENOT GUEDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.