Individual provider Active NPI

Sarah Alicia Gutierrez-Hernandez, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1295222123
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T9918 Issued in TX
Practice address
18587 Sigma Rd Ste 260
San Antonio, TX 78258-4205
Phone
(210) 314-4564
NPI assigned
Apr 17, 2018
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X T9918 TX Primary

Addresses

Primary practice location

18587 Sigma Rd Ste 260
San Antonio, TX 78258-4205

Mailing address

PO Box 161477
Austin, TX 78716-1477

Other names 1

  • Dr. Sarah Alicia Gutierrez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 21, 2023 through Feb 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T9918TXMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: sgutierrezhernandez24457@direct.utmsa.com

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1295222123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161477",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787161477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18587 SIGMA RD STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584205",
            "telephone_number": "210-314-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-HERNANDEZ",
        "first_name": "SARAH",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T9918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GUTIERREZ",
            "middle_name": "ALICIA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.