Individual provider Active NPI

Jessica Danae Guillaume, MD

  • Student in an Organized Health Care Education/Training Program
  • Cincinnati, OH
National Provider Identifier
1083361885
Registry record updated Apr 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3188 Bellevue Avenue
Center for Emergency Care
Cincinnati, OH 45219-0796
Phone
(513) 558-5281
Fax
(513) 558-5791
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3188 Bellevue Avenue
Center for Emergency Care
Cincinnati, OH 45219-0796

Mailing address

231 Albert Sabin Way, MSB 1654, ML 0769
UC Emergency Medicine
Cincinnati, OH 45267-0769
Phone (513) 558-5281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818001986 OH Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 2264894484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1083361885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ALBERT SABIN WAY, MSB 1654, ML 0769",
            "address_2": "UC EMERGENCY MEDICINE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670769",
            "telephone_number": "513-558-5281",
            "fax_number": "513-558-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 BELLEVUE AVENUE",
            "address_2": "CENTER FOR EMERGENCY CARE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452190796",
            "telephone_number": "513-558-5281",
            "fax_number": "513-558-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUME",
        "first_name": "JESSICA",
        "middle_name": "DANAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.