Individual provider Active NPI

Jodie Guardi

  • Registered Nurse
  • Aurora, IL
National Provider Identifier
1225452261
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041369463 Issued in IL
Practice address
1207 N Randall Rd
Aurora, IL 60506-1325
Phone
(708) 602-3254
NPI assigned
Feb 11, 2014
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041369463 IL Primary

Addresses

Primary practice location

1207 N Randall Rd
Aurora, IL 60506-1325

Mailing address

3 Erie CT
Suite 1300
Oak Park, IL 60302-2519
Phone (708) 406-3929

Other practice location 1

3 Erie Ct
Suite 1300
Oak Park, IL 60302-2519
Phone (708) 406-3929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041369463ILMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: jguardi205470@direct.myadvocateaurora.org

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1225452261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "address_2": "SUITE 1300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-406-3929",
            "fax_number": "708-406-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N RANDALL RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061325",
            "telephone_number": "708-602-3254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Erie Ct",
            "address_2": "SUITE 1300",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022519",
            "country_code": "US",
            "telephone_number": "708-406-3929",
            "fax_number": "708-406-3935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUARDI",
        "first_name": "JODIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041369463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.