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THARA L GUILLORY
NPI 1083581490
Nurse Practitioner - Adult Health in Avenel, NJ

Active since October 21, 2025PECOS Enrolled
1300 STATION DR APT 1303, AVENEL, NJ 07001(386) 868-9658 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thara L Guillory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THARA L GUILLORY (NPI 1083581490) is an individual adult health provider in Avenel, New Jersey, licensed in Florida (RN9573108) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083581490
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTHARA L GUILLORY
Location Address1300 STATION DR APT 1303Avenel, NJ 07001-1869
Mailing Address1300 Station Dr Apt 1303Avenel, NJ 07001-1869 · (386) 868-9658
Phone(386) 868-9658
Sole ProprietorNo
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1083581490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in FL · RN9573108✔ Licensed in NY · N10571
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License RN9573108 (FL)
1300 STATION DR APT 1303, Avenel, NJ 07001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thara L Guillory is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thara Guillory's NPI number?

The NPI number for Thara Guillory is 1083581490. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Thara Guillory located?

Thara Guillory practices at 1300 Station Dr Apt 1303, Avenel, NJ 07001. The listed phone number is (386) 868-9658.

What is Thara Guillory's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thara Guillory enrolled in Medicare?

Yes. Thara Guillory is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thara Guillory was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.