Active NPI
Bethany Guggenheim
- Registered Nurse
- Pittsfield, IL
National Provider Identifier
1629298450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Practice address
- 121 South Madison Street
Mental Health Centers of Western Illinois
Pittsfield, IL 62363 - Phone
- (217) 285-4436
- Fax
- (217) 285-2804
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | IL | Primary |
Addresses
Primary practice location
121 South Madison Street
Mental Health Centers of Western Illinois
Pittsfield, IL 62363
Mailing address
127 W Fayette Street
Pittsfield, IL 62363
Phone (217) 285-4436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN041107873 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Centers of Western Illinois | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mt Sterling, IL
- NPI 1558451716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629298450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W FAYETTE STREET",
"city": "PITTSFIELD",
"state": "IL",
"postal_code": "62363",
"telephone_number": "217-285-4436",
"fax_number": "217-285-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SOUTH MADISON STREET",
"address_2": "MENTAL HEALTH CENTERS OF WESTERN ILLINOIS",
"city": "PITTSFIELD",
"state": "IL",
"postal_code": "62363",
"telephone_number": "217-285-4436",
"fax_number": "217-285-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUGGENHEIM",
"first_name": "BETHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, IL
- Emily E Feenstra, APRN
- Foot and Ankle Associates of Central Illinois LLC
- David Stewart Glasgow, MD
- James A. Grote, M.D.
- Kaydianne Grote, DMD
- Rachel E. Hancock, CNP
- Hannibal Regional Healthcare System, Inc. (Hannibal Regional Medical Group)
- Hannibal Regional Hospital (Hannibal Regional Medical Group)
- Margaret Hanzel, R.PH.
- Rhonda K Harris
Sources for this page
- 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.