Guameda Eady, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209012721 Issued in IL

Practice address

19310 S Halsted
Jencare Neighborhood Medical Center Glenwood, LLC
Glenwood, IL 60425

Phone

(708) 300-3132

Fax

(708) 300-3149

NPI assigned

Aug 19, 2015

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PMR Illinois Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1770038671

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1750757159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19310 S HALSTED",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER GLENWOOD, LLC",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "60425",
            "telephone_number": "708-300-3132",
            "fax_number": "708-300-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19310 S HALSTED",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER GLENWOOD, LLC",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "60425",
            "telephone_number": "708-300-3132",
            "fax_number": "708-300-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADY",
        "first_name": "GUAMEDA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D and R Transportation Inc.
• Dancy Enterprise
• Margaret Alexis Dandridge
• Daniel E. Hermanson, OD, LTD.
• Bridget Duggan, CCC/SLP
• Genesis Cila Homes Inc
• Glenwood Healthcare & Rehab, Inc
• Glenwood Healthcare and Rehab
• Kenyetta Hall
• Denetra L Hardy, LPC

• All providers in Glenwood, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.