Active NPI
Victoria Nicole Gutierrez
- Family Nurse Practitioner
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24033
- Practice address
- 3054 Columbia Ave
Franklin, TN 37064-7424 - Phone
- (615) 550-0091
- Fax
- (615) 550-1397
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F12170654 | AL | |
| Family Nurse Practitioner | 363LF0000X | 24033 | TN | Primary |
Addresses
Primary practice location
3054 Columbia Ave
Franklin, TN 37064-7424
Mailing address
3054 Columbia Ave
Franklin, TN 37064-7424
Phone (615) 550-0091
Other practice location 1
4726 Traders Way
Thompsons Station, TN 37179-5366
Phone (615) 550-2955
Other names 1
- Miss Victoria Nicole Mathis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000
Hospital & facility affiliations
- Metro Nashville General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F12170654 | AL | MD | Family Nurse Practitioner |
| 24033 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Tennessee LLC | Family | Current | Accepting new patients |
| Metropolitan Hospital Authority | Current | Accepting new patients |
Locations
3054 Columbia Ave
Franklin, TN 37064
Phone (615) 550-0091
2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140
1919 Charlotte Ave
Nashville, TN 37203
Phone (615) 225-3700
1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000
4007 Clarksville Pike
Ste 200
Nashville, TN 37218
Phone (615) 341-4968
4726 Traders Way
Thompsons Station, TN 37179
Phone (615) 550-2955
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Nashville, TN
- NPI 1710206156
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1568551455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1235630435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3054 COLUMBIA AVE",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370647424",
"telephone_number": "615-550-0091",
"fax_number": "615-550-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3054 COLUMBIA AVE",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370647424",
"telephone_number": "615-550-0091",
"fax_number": "615-550-1397"
}
],
"practiceLocations": [
{
"address_1": "4726 Traders Way",
"address_purpose": "LOCATION",
"city": "Thompsons Station",
"state": "TN",
"postal_code": "371795366",
"country_code": "US",
"telephone_number": "615-550-2955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "VICTORIA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "F12170654",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "MATHIS",
"middle_name": "NICOLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.