Individual provider Active NPI

Gloria A Gutfeld, R.N.

  • Community Health Registered Nurse
  • Lakewood, CO
National Provider Identifier
1053528489
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
1619291 Issued in CO
Practice address
260 South Kipling St.
Lakewood, CO 80226
Phone
(303) 239-7052
Fax
(303) 239-7088
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X RN309597 CA
Community Health/Public Health Clinical Nurse Specialist 364SC1501X RN309597 CA
Community Health Registered Nurse 163WC1500X 1619291 CO Primary

Addresses

Primary practice location

260 South Kipling St.
Lakewood, CO 80226

Mailing address

260 South Kipling St.
Lakewood, CO 80226
Phone (303) 239-7052

Other identifiers 2

IdentifierTypeStateIssuer
CGP161899OtherCACCS PROVIDER #
28509510MedicaidCO

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1619291COMDCommunity Health Registered Nurse
RN309597CAMDCommunity Health/Public Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1053528489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SOUTH KIPLING ST.",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-239-7052",
            "fax_number": "303-239-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SOUTH KIPLING ST.",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-239-7052",
            "fax_number": "303-239-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTFELD",
        "first_name": "GLORIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "RN309597",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "RN309597",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "1619291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS PROVIDER #",
            "identifier": "CGP161899",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28509510",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.