NATHAN SHANE GUILLERMO SO-IDC
NPI 1285366971
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Q: What is Nathan Guillermo's NPI number?

The NPI number for Nathan Guillermo is 1285366971. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Q: What is Nathan Guillermo's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Guillermo was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2022

BRAVO 3 3D RECON BN, UNIT 36180, FPO, AP 96389(915) 539-5753 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nathan Shane Guillermo So-idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN SHANE GUILLERMO SO-IDC (NPI 1285366971) is an individual independent duty corpsman provider in Fpo, AP, licensed in (07219916NG) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1285366971

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameNATHAN SHANE GUILLERMOCredential: SO-IDC

Location AddressBRAVO 3 3D RECON BN, UNIT 36180Fpo, AP 96389-6180

Mailing AddressBravo 3 3d Recon Bn, Unit 36180Fpo, AP 96389-6180 · (915) 539-5753

Phone(915) 539-5753

Sole ProprietorNo

Enumeration DateJune 30, 2022

NPPES CertifiedJune 21, 2022

✔ NPI 1285366971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

License✔ Licensed · 07219916NG

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Guillermo's NPI number?

The NPI number for Nathan Guillermo is 1285366971. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Nathan Guillermo located?

Nathan Guillermo practices at Bravo 3 3D Recon Bn Unit 36180, Fpo, AP 96389. The listed phone number is (915) 539-5753.

What is Nathan Guillermo's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Nathan Guillermo was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.