Aida Gutierrez, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

102674 Issued in TX

Practice address

516 Stimpson St
Baytown, TX 77520-7063

Phone

(281) 683-0578

NPI assigned

Feb 19, 2018

Last updated

Feb 19, 2018By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1386144111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 STIMPSON ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775207063",
            "telephone_number": "281-683-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 STIMPSON ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775207063",
            "telephone_number": "281-683-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "AIDA",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "102674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Endodontics West U PLLC
• Gulf Coast II Lithotripsy LP
• Gulf Coast Medical
• Gulf Coast Sleep Diagnostic Center
• Ganesh Prasad Gupta, MD
• Orlando David Gutierrez, M.D.
• Sandra Gutierrez, RN
• H-E-B, LP (HEB Pharmacy #742)
• H-E-B, LP (HEB Pharmacy #741)
• Christopher Ha, DMD

• Licensed Practical Nurse in Baytown, TX
• Providers in Baytown, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.