Active NPI
Andrew Guthrie
- Social Worker
- Flagstaff, AZ
National Provider Identifier
1194138248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 08333
- Practice address
- 8300 N Roundtree Rd
Flagstaff, AZ 86001-7810 - Phone
- (480) 228-7003
- Fax
- (928) 779-4161
- NPI assigned
- Jun 6, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 08333 | AZ | Primary |
Addresses
Primary practice location
8300 N Roundtree Rd
Flagstaff, AZ 86001-7810
Mailing address
8300 N Roundtree Rd
Flagstaff, AZ 86001-7810
Phone (480) 228-7003
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08333 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1194138248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 N ROUNDTREE RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017810",
"telephone_number": "480-228-7003",
"fax_number": "928-779-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 N ROUNDTREE RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860017810",
"telephone_number": "480-228-7003",
"fax_number": "928-779-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "08333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.