Individual provider Active NPI

Kathleen S Gutierrez

  • Speech-Language Pathologist
  • Flushing, NY
National Provider Identifier
1013279140
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
14736 26TH Ave
Flushing, NY 11354-1444
Phone
(718) 445-8833
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NY Primary

Addresses

Primary practice location

14736 26TH Ave
Flushing, NY 11354-1444

Mailing address

14736 26TH Ave
Flushing, NY 11354-1444
Phone (718) 445-8833

Other practice location 1

90 Henry St
Inwood, NY 11096-2335
Phone (718) 327-3401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1013279140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14736 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541444",
            "telephone_number": "718-445-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14736 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541444",
            "telephone_number": "718-445-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Henry St",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "NY",
            "postal_code": "110962335",
            "country_code": "US",
            "telephone_number": "718-327-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.