Chanthy Gutierrez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1050917 Issued in TX

Practice address

19221 I 45 S Ste 430
Shenandoah, TX 77385-8770

Phone

(832) 813-5743

Fax

(832) 813-8127

NPI assigned

Mar 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1205368990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 I 45 S STE 430",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858770",
            "telephone_number": "832-813-5743",
            "fax_number": "832-813-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 I 45 S STE 430",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858770",
            "telephone_number": "832-813-5743",
            "fax_number": "832-813-8127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279108161",
            "country_code": "US",
            "telephone_number": "252-332-3548",
            "fax_number": "252-332-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CHANTHY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "290618",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1050917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Grimbly
• Jill Grounds, M.D.
• Brooke Michelle Guilbeaux, AGACNP-BC, AGPCNP-C
• Debra Jane Gummelt, DO
• Amit Gupta, D.O.
• William Marshall Guy, M.D.
• Jennifer L Gwynne, APRN, FNP-C
• Shah Khaled Habib, MD
• Asha Nshambi Hadley, RD
• Ashley Hamann, NP

• Family Nurse Practitioner in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.