Active NPI
Sarina Marie Gutierrez, PTS
- Prevention Professional
- Alsip, IL
National Provider Identifier
1366978686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 160.007669
- Practice address
- 11501 S Villa CT
Alsip, IL 60803-4361 - Phone
- (708) 677-5673
- NPI assigned
- May 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 160.007669 | IL | Primary |
Addresses
Primary practice location
11501 S Villa CT
Alsip, IL 60803-4361
Mailing address
11501 S Villa CT
Alsip, IL 60803-4361
Phone (708) 677-5673
Other names 1
- Sarina Marie Gutierrez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.007669 | IL | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1366978686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11501 S VILLA CT",
"city": "ALSIP",
"state": "IL",
"postal_code": "608034361",
"telephone_number": "708-677-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 S VILLA CT",
"city": "ALSIP",
"state": "IL",
"postal_code": "608034361",
"telephone_number": "708-677-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "SARINA",
"middle_name": "MARIE",
"credential": "PTS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-05",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "IL",
"license": "160.007669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARINA",
"last_name": "GUTIERREZ",
"middle_name": "MARIE",
"credential": "PTA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Alsip, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.