Individual provider Active NPI

Deborah Gutterson

  • Case Manager/Care Coordinator
  • Bloomfield Hills, MI
National Provider Identifier
1033660980
Registry record updated Oct 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
5201003286 Issued in MI
Practice address
2747 Aldgate Dr
Bloomfield Hills, MI 48304-1701
Phone
(313) 790-0407
NPI assigned
Oct 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 5201003286 MI Primary

Addresses

Primary practice location

2747 Aldgate Dr
Bloomfield Hills, MI 48304-1701

Mailing address

2747 Aldgate Dr
Bloomfield Hills, MI 48304-1701
Phone (313) 790-0407

Other names 1

  • Deborah Gutterson Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201003286MIMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1476576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476576000000",
    "number": "1033660980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 ALDGATE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041701",
            "telephone_number": "313-790-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 ALDGATE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041701",
            "telephone_number": "313-790-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTERSON",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-16",
        "last_updated": "2016-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "5201003286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "GUTTERSON",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; 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.