Susan Camille Gutierrez, MSN, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP125921 Issued in TX

Practice address

16620 N US Highway 281 Ste 300
San Antonio, TX 78232-2679

Phone

(210) 309-1405

Fax

(210) 688-4596

NPI assigned

Jun 13, 2014

Last updated

May 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Family Medicine Centers Lab L P

  • Clinical Medical Laboratory
  • Amarillo, TX
  • NPI 1972515765
  NPD (past)
• FMC Medical Foundation, Inc.

  dba Family Medicine Center on Coulter

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1649205972
  NPD (past)
• Healing Wounds LLC

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • San Antonio, TX
  • NPI 1831500347
  NPD (past)
• MJF Rehabilitation PA

  • Physical Medicine & Rehabilitation Physician
  • Kerrville, TX
  • NPI 1093778805
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1124432547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847692",
            "address_2": "ATT IPM CREDENTIALING",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847692",
            "telephone_number": "903-416-1726",
            "fax_number": "903-416-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N US HIGHWAY 281 STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322679",
            "telephone_number": "210-309-1405",
            "fax_number": "210-688-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "SUSAN",
        "middle_name": "CAMILLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP125921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3435414-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selma Odette Gutierrez, LPC-ASSOCIATE
• Shirley Eilene Gutierrez, LCSW
• Sonia E Gutierrez
• Sonya Gutierrez
• Stacy Gutierrez
• Teresa Gutierrez
• Vanessa Gutierrez
• Victoria Briana Gutierrez, PA-C
• Dennis Raymond Gutzman, MD
• Suvarna Lakshmi Guvvala, MD

• Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.