GUINEVERE B RESERVA (NPI# 1497280291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497280291 |
| Entity Type | Individual |
| Full Name | GUINEVERE B RESERVA |
| Credential | AMT |
| Practice Address |
515 Sawmill Ct Rochester IL 62563-6057 |
| Practice Telephone | 2175020419 |
| Mailing Telephone | 2175020419 |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
515 SAWMILL CT |
| City | ROCHESTER |
| State | IL |
| Zip Code | 62563-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699113324 | Ghs Inc. | Durable Medical Equipment & Medical Supplies | 510 Karen Rose, Rochester, IL 62563 | 2013-06-04 |
| 1508053687 | Cheryl Swenny & Associates | Counselor | 201 S. Walnut St, Rochester, IL 62563 | 2007-10-02 |
| 1104992031 | Michael Lee Hawk | Dentist | 441 State Street, Rochester, IL 62563 | 2006-11-24 |
| 1588752083 | Martin Louis Michelson | Counselor | 201 South Walnut Street, Rochester, IL 62563 | 2006-10-10 |
| 1578679874 | Cheryl Sue Swenny | Counselor | 201 South Walnut, Rochester, IL 62563 | 2006-08-21 |
| 1205014537 | Constance Sue Kayser | Neurological Surgery | 7111 Minder Rd, Rochester, IL 62563-6122 | 2008-02-08 |
| 1730357518 | Lyle Eugene Wacaser | Neurological Surgery | 7111 Minder Rd, Rochester, IL 62563-6122 | 2008-02-14 |
| 1699743823 | Nathan R Corbin | Chiropractor | 207 S Walnut St, Rochester, IL 62563-7501 | 2006-03-14 |
| 1497009195 | Corbin Chiropractic S.c. | Chiropractor | 207 S Walnut St, Rochester, IL 62563-7501 | 2012-11-01 |
| 1679706006 | Catherine Mary Chrietzberg Wells | Counselor | 8550 Cascade Road, Rochester, IL 62563-7959 | 2009-09-02 |
| Find all providers in zip 62563 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073017679 | Nicholas M Moore | Spec/Tech, Pathology | 1653 W Congress Pkwy Ste 1173, Chicago, IL 60612-3833 | 2018-03-20 |
| 1689069189 | Lucas Quinlan | Spec/Tech, Pathology | 2172 County Road 3500 N, Ludlow, IL 60949-6028 | 2015-04-01 |
| 1346591260 | Timothy Leland Toner | Spec/Tech, Pathology | 304 N Dixon St, Rankin, IL 60960-7057 | 2012-10-02 |
| 1518232537 | Dana White | Spec/Tech, Pathology | 27 Bonniebrook Rd, Chatham, IL 62629-1066 | 2012-03-09 |
| 1720378524 | Star Lab, Inc | Spec/Tech, Pathology | 9213 Parklane Ave, Franklin Park, IL 60131-2837 | 2011-04-13 |
| 1942746185 | Marlon Pemberton | Spec/Tech, Pathology | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2017-01-11 |
| 1124413653 | Angelica Hochevar | Spec/Tech, Pathology | 5000 S 5th Ave, Hines, IL 60141-3030 | 2015-04-01 |
| 1093070880 | Marbie Downen | Spec/Tech, Pathology | 801 S West St, Executive Center Suite 123, Olney, IL 62450-1334 | 2012-07-09 |
| 1508139734 | Carlomagno A Ore | Spec/Tech, Pathology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2012-02-19 |
| 1215102157 | Edith M Siemianowski | Spec/Tech, Pathology | 5000 S 5th Ave, Microbiology 113, Hines, IL 60141-3030 | 2008-04-22 |
| Find all providers with the same taxonomy | ||||
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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.