Active NPI
Meleaha Kathleen Gutierrez
- Certified Registered Nurse Anesthetist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61327724
- Practice address
- 3130 Wilderness Hill Blvd Apt 7-204
Lincoln, NE 68516-5185 - Phone
- (402) 640-4364
- NPI assigned
- Jul 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 74209 | NE | |
| Certified Registered Nurse Anesthetist | 367500000X | AP61327724 | WA | Primary |
Addresses
Primary practice location
3130 Wilderness Hill Blvd Apt 7-204
Lincoln, NE 68516-5185
Mailing address
3130 Wilderness Hill Blvd Apt 7-204
Lincoln, NE 68516-5185
Phone (402) 640-4364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661
Hospital & facility affiliations
- St Elizabeth Hospital
- Multicare Auburn Medical Center
- Multicare Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74209 | NE | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Anesthesia Associates PC | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650
1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Puyallup, WA
- NPI 1487637013
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, WA
-
- Certified Registered Nurse Anesthetist
- Kirkland, WA
- NPI 1962935197
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1154564649
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Enumclaw, WA
- NPI 1073674040
-
- General Acute Care Hospital
- Auburn, WA
- NPI 1255327201
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1194396796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 WILDERNESS HILL BLVD APT 7-204",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165185",
"telephone_number": "402-640-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 WILDERNESS HILL BLVD APT 7-204",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165185",
"telephone_number": "402-640-4364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MELEAHA",
"middle_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-05",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "NE",
"license": "74209",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61327724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.