Carla Marie Gutierrez, DNP, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

254090 Issued in AZ

Practice address

4555 E Inverness Ave # 200
Mesa, AZ 85206-4630

Phone

(480) 830-3900

NPI assigned

Feb 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Sleep Physicians IncGroup PAC ID 5698905677, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

56.55 of 100Reported as group

Quality

87.14

Promoting interoperability

0

Improvement activities

20

Cost

76.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Valley Sleep Physicians, Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Mesa, AZ
  • NPI 1265874630
  Medicare reassignment Care Compare group NPD
• Valley Oximetry Incorporated

  • Sleep Disorder Diagnostic Clinic/Center
  • Chandler, AZ
  • NPI 1437465044
  NPD (past)
• Valley Oximetry Incorporated

  • Sleep Disorder Diagnostic Clinic/Center
  • Mesa, AZ
  • NPI 1700844610
  NPD (past)

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1326631045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE # 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE # 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630",
            "telephone_number": "480-830-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CARLA MARIE",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "254090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guthrie Mainstream Services LLC
• Brad Guthrie, MD
• Dale W Guthrie, M.D.
• Jennifer Denise Guthrie, PA-C
• Jo Guthrie
• Jose A Gutierrez, M.D.
• Shawna C Gutierrez, LCSW
• Wilson Gutierrez
• Melissa Guttuso
• Erin Guy

• Adult Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.

Verify at the official NPI Registry.