KORT GUILLETTE
NPI 1407647506
Student in an Organized Health Care Education/Training Program in O Fallon, IL

Q: What is Kort Guillette's NPI number?

The NPI number for Kort Guillette is 1407647506. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Q: What is Kort Guillette's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kort Guillette was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 May 16, 2025PECOS Enrolled

3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 256-9355(618) 206-2332 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2026, May 16, 2025 (2 updates tracked since 2025).

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About Kort Guillette NPPES

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

KORT GUILLETTE (NPI 1407647506) is an individual student in an organized health care education/training program in O Fallon, Illinois and active in the NPI registry since May 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407647506

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameKORT GUILLETTE

Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284

Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 256-9355 · Fax (618) 206-2332

Phone(618) 256-9355

Fax(618) 206-2332

Sole ProprietorNo

Enumeration DateMay 16, 2025

Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1407647506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kort Guillette is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARA GRACE DOWNING MD

Student in an Organized Health Care Education/Training Program