KELLY MAE GUZLAS (NPI# 1467858308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467858308 |
| Entity Type | Individual |
| Full Name | KELLY MAE GUZLAS |
| Practice Address |
3101 Fields South Dr Champaign IL 61822-3743 |
| Mailing Address |
101 W University Ave Champaign IL 61820-3981 |
| Practice Telephone | 2173666162 |
| Mailing Telephone | 2173666162 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041.402236 | IL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.012016 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3101 FIELDS SOUTH DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386215 | Nathan A Crouch | Optometrist | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2005-06-20 |
| 1255961470 | Kyle Kappes | Student in an Organized Health Care Education/Training Program | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2020-01-16 |
| 1356897003 | Emily Foertsch | Nurse Practitioner | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2016-08-31 |
| 1811257348 | Samantha Herriott | Physical Therapist | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2012-05-17 |
| 1861791261 | Karen Valerie Draper | Internal Medicine | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2011-03-24 |
| 1841517679 | Lisa Ryan Hobbs | Podiatrist | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2010-05-04 |
| 1497940993 | Dara Naomi Catron | Occupational Therapist | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2007-09-09 |
| 1831311984 | Amit Date | Otolaryngology | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2007-05-02 |
| 1356560353 | Christine Benway | Physical Therapist | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2007-04-25 |
| 1518064062 | Eric P Helfer | Urology | 3101 Fields South Dr, Champaign, IL 61822-3743 | 2006-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123804 | Taysha Marie Ryan | Nurse Practitioner | 302 E Stoughton St Ste 2, Champaign, IL 61820-5414 | 2020-01-07 |
| 1831513985 | Heather Bolser | Nurse Practitioner | 206 W Anthony Dr, Champaign, IL 61822-1218 | 2014-02-10 |
| 1619308574 | Kimberly Freemon | Nurse Practitioner | 2902 Farber Dr, Champaign, IL 61822-1072 | 2013-12-03 |
| 1417263633 | Sherry Smith | Nurse Practitioner | 2043 S Neil St, Champaign, IL 61820-7219 | 2010-08-25 |
| 1851431118 | Carole J Schoene | Nurse Practitioner | 1600 W Bradley Ave, E110, Champaign, IL 61821-2208 | 2007-02-07 |
| 1396231767 | Lauren Ashleigh Frerichs | Nurse Practitioner | 101 W University Ave, Champaign, IL 61820-3909 | 2018-07-09 |
| 1003304064 | Jennifer Lynn Laubscher | Nurse Practitioner | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2018-04-25 |
| 1902310642 | Julie A Shain | Nurse Practitioner | 2300 S 1st St, Champaign, IL 61820-7661 | 2017-11-16 |
| 1578074506 | Nicole Dawn Almeida | Nurse Practitioner | 1701 Curtis Rd, Champaign, IL 61822 | 2017-10-17 |
| 1710424965 | April D Johnson | Nurse Practitioner | 1701 Curtis Rd, Conv. Care, Champaign, IL 61822-9678 | 2017-01-26 |
| Find all providers in CHAMPAIGN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.