Jurielma Gutierrez Hererea

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605958 Issued in VA

Practice address

2978 Centreville Rd
Herndon, VA 20171-6253

Phone

(703) 934-5000

NPI assigned

Dec 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1194483248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21895 CRESCENT PARK SQ APT 303",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201484435",
            "telephone_number": "571-888-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 CENTREVILLE RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201716253",
            "telephone_number": "703-934-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ HEREREA",
        "first_name": "JURIELMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Guevara, FNP-C
• Brianna Guillory
• Melody Guitz
• Naga Sai Pranathi Gundimeda, DMD
• Joseph Parimal Gurrala, MD
• Glenda Lisseth Guzman Rodriguez, RBT
• Briana Guzman
• H.O.P Medical Supplies, Inc
• Betsy S Haarmann, LPC
• Jennifer Renea Hairston, RDH

• Physical Therapy Assistant in Herndon, VA
• Providers in Herndon, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.