Amanda Gutierrez, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

106476 Issued in TX

Practice address

1002 W Sam Houston Blvd
Suite 10
Pharr, TX 78577-5224

Phone

(956) 702-9882

Fax

(956) 702-9886

NPI assigned

Dec 6, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Renaissance Outpatient Rehabilitation Center, LLC.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Weslaco, TX
  • NPI 1235137506

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1366710311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720157",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040157",
            "telephone_number": "956-682-6900",
            "fax_number": "956-682-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W SAM HOUSTON BLVD",
            "address_2": "SUITE 10",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775224",
            "telephone_number": "956-702-9882",
            "fax_number": "956-702-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "AMANDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca L Guerra, FNP-C
• Diana Guerra, FNP
• Sienna Linda Guerra, MS
• Leslie Bingham Guerrero, SLP
• Aida Solis Guizar, PAC
• Sylvia Guzman-Garza, LPC
• Norma Noemi Guzman, SLP
• H-E-B, LP
• Khanh Ha, D.M.D
• Jennifer Hall, PA-C

• Speech-Language Pathologist in Pharr, TX
• Providers in Pharr, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.