Individual provider Active NPI

Lorena Gutierrez, RN

  • Doula
  • West Orange, NJ
National Provider Identifier
1205463130
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
554 Eagle Rock Ave
West Orange, NJ 07052-3643
Phone
(973) 592-4477
NPI assigned
Mar 23, 2020
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR16656200 NJ
Doula 374J00000X NJ Primary

Addresses

Primary practice location

554 Eagle Rock Ave
West Orange, NJ 07052-3643

Mailing address

554 Eagle Rock Ave
West Orange, NJ 07052-3643
Phone (973) 592-4477

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lgutierrez@ycs.org Direct
Direct Messaging Address lgutierrez@ycs.org
Direct Messaging Address lgutierrez@ycs.org

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR16656200NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Consultation Service Inc PastSince Mar 1, 2020 Accepting new patients
Youth Consultation Service, Inc PastSince Feb 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lgutierrez@ycs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1205463130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523643",
            "telephone_number": "973-592-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523643",
            "telephone_number": "973-592-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LORENA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16656200",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgutierrez@ycs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "60 Evergreen Pl Fl 10",
            "city": "East Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070182107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgutierrez@ycs.org",
            "affiliation": "N",
            "address_1": "60 Evergreen Pl Fl 10",
            "city": "East Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070182107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgutierrez@ycs.org",
            "affiliation": "N",
            "address_1": "60 Evergreen Pl",
            "city": "East Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070182106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.