Individual provider Active NPI

Michael D Guiterrez

  • Registered Respiratory Therapist
  • Bolling Afb, DC
National Provider Identifier
1396630026
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT-1374 Issued in HI
Practice address
3136 Kelly St SW
Bolling Afb, DC 20032-7465
Phone
(805) 717-4376
NPI assigned
Jun 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RC200001653 DC
Registered Respiratory Therapist 227900000X RCP02007498 TX
Registered Respiratory Therapist 227900000X RT-1374 HI Primary

Addresses

Primary practice location

3136 Kelly St SW
Bolling Afb, DC 20032-7465

Mailing address

3136 Kelly St SW
Bolling Afb, DC 20032-7465
Phone (805) 717-4376

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

LicenseStateTypeSpecialty
RC200001653DCMDRegistered Respiratory Therapist
RT-1374HIMDRegistered Respiratory Therapist
RCP02007498TXMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1396630026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 KELLY ST SW",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327465",
            "telephone_number": "805-717-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 KELLY ST SW",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327465",
            "telephone_number": "805-717-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITERREZ",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "DC",
            "license": "RC200001653",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "RCP02007498",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "HI",
            "license": "RT-1374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolling Afb, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.