Organization Active NPI

Guiding Health Immediate & Primary Care, PLLC

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1407571334
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GUIDING HEALTH IMMEDIATE & PRIMARY CARE, PLLC
Practice address
2623 Charles St FL 2
Rockford, IL 61108-1608
Phone
(773) 407-5366
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Alexandra Mendez, NPNPI 1447794144
Title
Owner
Phone
(773) 407-5366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2623 Charles St FL 2
Rockford, IL 61108-1608

Mailing address

2623 Charles St FL 2
Rockford, IL 61108-1608
Phone (773) 407-5366

National Provider Directory

National Provider Directory

Locations

2623 Charles St
Fl 2
Rockford, IL 61108
Phone (773) 407-5366

2623 Charles St
Rockford, IL 61108
Phone (773) 407-5366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1407571334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 CHARLES ST FL 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081608",
            "telephone_number": "773-407-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 CHARLES ST FL 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081608",
            "telephone_number": "773-407-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING HEALTH IMMEDIATE & PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-407-5366",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.