Individual provider Active NPI

Debra J Gutierrez, CRTT-RCP

  • General Care Certified Respiratory Therapist
  • Bullhead City, AZ
National Provider Identifier
1508137373
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Certified Respiratory TherapistTaxonomy code 2278G1100X
License
7190 Issued in AZ
Practice address
2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522
Phone
(928) 444-8168
Fax
(928) 444-8169
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Certified Respiratory Therapist 2278G1100X 7190 AZ Primary

Addresses

Primary practice location

2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522

Mailing address

2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522
Phone (928) 444-8168

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
7190AZMDGeneral Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1508137373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 MIRACLE MILE",
            "address_2": "SUITE 107",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427522",
            "telephone_number": "928-444-8168",
            "fax_number": "928-444-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 MIRACLE MILE",
            "address_2": "SUITE 107",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427522",
            "telephone_number": "928-444-8168",
            "fax_number": "928-444-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DEBRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CRTT-RCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "AZ",
            "license": "7190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.