Active NPI
Olinda Christine Gutierrez, P.A.-C
- Physician Assistant
- Boerne, TX
National Provider Identifier
1124152624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04074
- Practice address
- 1510 S Main St
Boerne, TX 78006-3308 - Phone
- (830) 816-4357
- Fax
- (830) 333-1871
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04074 | TX | Primary |
Addresses
Primary practice location
1510 S Main St
Boerne, TX 78006-3308
Mailing address
1510 S Main St
Boerne, TX 78006-3308
Phone (830) 816-4357
Other practice location 1
212 US Hwy 87
Comfort, TX 78013-3705
Phone (830) 995-3887
Other names 1
- Lindi Christine Gutierrez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 N Loop 1604
Suite 211
San Antonio, TX 78258-4627
Phone (210) 764-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Heart Care of San Antonio | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFCJBD/Endpoint/AFCJBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- San Antonio, TX
- NPI 1740961689
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1285057935
-
- Pain Medicine (Anesthesiology) Physician
- Boerne, TX
- NPI 1740731074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566604800000",
"number": "1124152624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S MAIN ST",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063308",
"telephone_number": "830-816-4357",
"fax_number": "830-331-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S MAIN ST",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063308",
"telephone_number": "830-816-4357",
"fax_number": "830-333-1871"
}
],
"practiceLocations": [
{
"address_1": "212 US Hwy 87",
"address_purpose": "LOCATION",
"city": "Comfort",
"state": "TX",
"postal_code": "780133705",
"country_code": "US",
"telephone_number": "830-995-3887",
"fax_number": "830-995-3393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "OLINDA",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2019-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDI",
"last_name": "GUTIERREZ",
"middle_name": "CHRISTINE",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.