Juan C Guevara

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Building N-46 Capesarichef
Kodiak, AK 99619-5002

Phone

(907) 487-5616

Fax

(907) 487-5360

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598807588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING N-46 CAPESARICHEF",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996195002",
            "telephone_number": "907-487-5616",
            "fax_number": "907-487-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING N-46 CAPESARICHEF",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996195002",
            "telephone_number": "907-487-5616",
            "fax_number": "907-487-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "JUAN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerritt Gerry Green, HEALTH SERVICES TECH
• Laura Lynette Griffin, BACHELORS OF SCIENCE
• Chelsea Grimstad
• Katherine Gronn, R.D.H.
• Brent Lawrence Guard
• Mary Angelica Guilas-Hawver, MA, CDCI
• Hannah Faith Halfhill
• Christopher Shane Hall
• Michael Handricks
• Carolyn Hawes

• Independent Duty Corpsman in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Independent Duty Corpsman in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.