Individual provider Active NPI

Victoria Nicole Gutierrez

  • Family Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1235630435
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24033 Issued in TN
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

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180811000352 TN Practitioner - Nurse Practitioner 5799033411 Reassigns benefits to 2 organizations

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
Metropolitan Hospital AuthorityGroup PAC ID 3779775432, 50 clinicians

Practice addresses (Care Compare)

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000

Hospital & facility affiliations

  • Metro Nashville General Hospital Hospital, Nashville, TN, CCN 440111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12170654ALMDFamily Nurse Practitioner
24033TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Apr 20, 2018 Accepting new patients
Metropolitan Hospital Authority CurrentSince Feb 1, 2023 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.