Stacy Gutierrez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

320611 Issued in MS

Practice address

8600 Wurzbach Rd Ste 700
San Antonio, TX 78240-4332

Phone

(210) 737-8090

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2019.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1386102499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FM 3009 APT 2102",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 WURZBACH RD STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404332",
            "telephone_number": "210-737-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "320611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Fuentes Gutierrez, DDS
• Selma Odette Gutierrez, LPC-ASSOCIATE
• Shirley Eilene Gutierrez, LCSW
• Sonia E Gutierrez
• Sonya Gutierrez
• Susan Camille Gutierrez, MSN, APRN, FNP-C
• Teresa Gutierrez
• Vanessa Gutierrez
• Victoria Briana Gutierrez, PA-C
• Dennis Raymond Gutzman, MD

• All providers in San Antonio, TX
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.