Evangeline D Guettinger, RN

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

364397 Issued in CA

Practice address

6735 Arena Way
Livingston, CA 95334-9729

Phone

(209) 394-2335

NPI assigned

May 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274486400000",
    "number": "1104145788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 ARENA WAY",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349729",
            "telephone_number": "209-394-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 ARENA WAY",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349729",
            "telephone_number": "209-394-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUETTINGER",
        "first_name": "EVANGELINE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-22",
        "last_updated": "2010-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "364397",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "364397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GKN RX
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• Grace Cottage
• Grace Home, Inc.
• Lydia T Grant, FNP
• Leticia Guillen, LCSW
• Mariana Gumm, ASW
• Jenna Maurer Heath, MD
• Danielle Michelle Hernandez
• Michael S Hibdon, CADC II

• Health Educator in Livingston, CA
• Providers in Livingston, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2010; 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.