Elaine Marie Gudeman, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

161966-030 Issued in WI

Practice address

208 Millington Way
St Charles, IL 60174-6908

Phone

(847) 624-0822

NPI assigned

Oct 7, 2008

Last updated

Jun 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1225289465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MILLINGTON WAY",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601746908",
            "telephone_number": "847-624-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MILLINGTON WAY",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601746908",
            "telephone_number": "847-624-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDEMAN",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "161966-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Wellness LLC (Growing Wellness)
• Elijah Grundman, RBT
• Jonathon M Gruszeczki, LCPC
• Tara Lynn Grzetic, DMD, MS
• Ana Isabel Grzybek, MHS, CCC-SLP/L
• Katherine M Guenther
• Michael J Guidotti, M.S., CCC-SLP/L
• Wyatt Gundlach, RBT
• Nicole Gutierrez, RBT
• Fatima M Hadi, MD

• Home Health Registered Nurse in St Charles, IL
• Providers in St Charles, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.