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

NPI Status: Active since June 30, 2022

Contact Information

BRAVO 3 3D RECON BN
UNIT 36180
FPO, AP
ZIP 96389
Phone: (915) 539-5753

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About NATHAN GUILLERMO

This page provides the complete NPI Profile along with additional information for Nathan Guillermo, a provider established in Fpo, with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1285366971 assigned on June 2022. The practitioner's primary taxonomy code is 1710I1002X with license number 07219916NG (). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1285366971
Provider Name
NATHAN SHANE GUILLERMO SO-IDC
Gender
Male
Entity Type
Individual
Location Address
BRAVO 3 3D RECON BN UNIT 36180 FPO, AP 96389
Location Phone
(915) 539-5753
Mailing Address
BRAVO 3 3D RECON BN UNIT 36180 FPO, AP 96389
Mailing Phone
(915) 539-5753
Is Sole Proprietor?
No
Enumeration Date
06-30-2022
Last Update Date
06-30-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
License No.
07219916NG
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285366971
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221656612914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 6 + 6 + 1 + 2 + 9 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1285366971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285366971, enumerated as an "individual" on June 30, 2022.

The provider is located at BRAVO 3 3D RECON BN UNIT 36180 FPO, AP 96389 and the phone number is (915) 539-5753.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.