Individual Healthcare Provider
Thara L Guillory
Provider's NPPES record last updated: August 25, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1083581490
- Primary Specialty
- Nurse Practitioner — Gerontology
- Practice Location
- Avenel, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:09 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LG0600X Nurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200XRegistered Nurse
Registered Nurse First Assistant
Nursing Service Providers
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
Taxonomy code 163WR0006X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 26NJ15465900
- Nurse Practitioner (New York)
- N10571
- Nurse Practitioner (Florida)
- RN9573108
- Registered Nurse (Florida)
- RN9573108
Practice Locations
Practice Location
1300 Station Dr Apt 1303
Avenel, New Jersey 07001-1869
Phone: (386) 868-9658
Record Information
- Enumeration Date
- October 21, 2025
- Provider's NPPES Record Last Updated
- August 25, 2026
- Certification Date
- August 25, 2026
- NPISignal NPPES Dataset
- August 2026
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