Individual provider Active NPI

Joanna Gutierrez Sangal, APRN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1275000325
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139489 Issued in TX
Practice address
7077 Highway 6 N
Houston, TX 77095-2505
Phone
(832) 937-5905
Fax
(888) 639-4616
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP139489 TX
Pediatric Nurse Practitioner 363LP0200X AP139489 TX
Family Nurse Practitioner 363LF0000X AP139489 TX Primary

Addresses

Primary practice location

7077 Highway 6 N
Houston, TX 77095-2505

Mailing address

7077 Highway 6 N
Houston, TX 77095-2505
Phone (361) 455-2224

Other identifiers 3

IdentifierTypeStateIssuer
28270OtherTXRX AUTH
781365OtherTXTX RN
AP139489OtherTXAPRN

Other names 1

  • Joanna Gutierrez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241220001779 TX Practitioner - Nurse Practitioner 3870734072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139489TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Group, PLLC CurrentSince Oct 7, 2024 Accepting new patients
Centrum Medical Group, PLLC Current Accepting new patients
Centrum Medical Group PLLC CurrentSince Oct 7, 2024 Accepting new patients
Devoted Hands Home Health LLC PastSince Feb 22, 2013 Accepting new patients
Clinica la Salud PLLC Pediatrics Past Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

17515 Spring Cypress Rd
Unit 1
Cypress, TX 77429

8498 S Sam Houston Pkwy E
Ste 100
Houston, TX 77075
Phone (832) 831-3974

10934 I 10 East Fwy
Houston, TX 77029
Phone (713) 450-2838

7077 Highway 6 N
Houston, TX 77095
Phone (281) 815-1644

8102 Antoine Dr
Houston, TX 77088
Phone (713) 360-2980

13977 Westheimer Rd
Ste D
Houston, TX 77077
Phone (281) 558-4300

1463 S Mason Rd
Katy, TX 77450
Phone (281) 771-1166

4894 Louetta Rd
Spring, TX 77388
Phone (281) 288-9229

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1275000325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7077 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952505",
            "telephone_number": "361-455-2224",
            "fax_number": "888-639-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7077 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952505",
            "telephone_number": "832-937-5905",
            "fax_number": "888-639-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ SANGAL",
        "first_name": "JOANNA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139489",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP139489",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX AUTH",
            "identifier": "28270",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX RN",
            "identifier": "781365",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP139489",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "GUTIERREZ",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.