Individual provider Active NPI

Marizthel Loyola Guiab, DNP, FNP-C

  • Nurse Practitioner
  • Westchester, IL
National Provider Identifier
1720597990
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209016507 Issued in IL
Practice address
1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709
Phone
(877) 906-9699
NPI assigned
Sep 20, 2017
Last updated
Sep 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209016507 IL Primary

Addresses

Primary practice location

1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709

Mailing address

8042 Kenton Ave Apt 2
Skokie, IL 60076-3180
Phone (848) 391-6410

Other names 1

  • Marizthel Marfori Loyola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025000794 IL Practitioner - Nurse Practitioner 4183990880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Solutions, SCGroup PAC ID 6002090933, 11 clinicians

Practice addresses (Care Compare)

707 W Riverside Blvd
Rockford, IL 61103-2125
Phone (815) 877-5752

Merit-based Incentive Payment System (MIPS)

Final score
73.52 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
78.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209016507ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Solutions, SC CurrentSince Sep 7, 2017 Accepting new patients

Locations

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

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.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1720597990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8042 KENTON AVE APT 2",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763180",
            "telephone_number": "848-391-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTBROOK CORPORATE CTR STE 300",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545709",
            "telephone_number": "877-906-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIAB",
        "first_name": "MARIZTHEL",
        "middle_name": "LOYOLA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIZTHEL",
            "last_name": "LOYOLA",
            "middle_name": "MARFORI",
            "credential": "DNP, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westchester, IL

Sources for this page

Verify at the official NPI Registry.