Active NPI
Lindsay Dawn Gutierrez, FNP-C
- Family Nurse Practitioner
- Redondo Beach, CA
National Provider Identifier
1508330978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95019212
- Practice address
- 609 N Pacific Coast Hwy Ste 130
Redondo Beach, CA 90277-2107 - Phone
- (424) 265-0550
- NPI assigned
- Jan 18, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 674187 | CA | |
| Nurse Practitioner | 363L00000X | 95019212 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95019212 | CA | Primary |
Addresses
Primary practice location
609 N Pacific Coast Hwy Ste 130
Redondo Beach, CA 90277-2107
Mailing address
16149 Maricopa LN
Apple Valley, CA 92307-7802
Other practice location 1
390 N Pacific Coast Hwy Ste 1030
El Segundo, CA 90245-0015
Phone (310) 906-2287
Other names 1
- Lindsay Dawn Tillett
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 674187 | CA | MD | Registered Nurse |
| 95019212 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1508330978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16149 MARICOPA LN",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923077802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 N PACIFIC COAST HWY STE 130",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772107",
"telephone_number": "424-265-0550"
}
],
"practiceLocations": [
{
"address_1": "390 N Pacific Coast Hwy Ste 1030",
"address_purpose": "LOCATION",
"city": "El Segundo",
"state": "CA",
"postal_code": "902450015",
"country_code": "US",
"telephone_number": "310-906-2287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "LINDSAY",
"middle_name": "DAWN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "674187",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95019212",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95019212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "TILLETT",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.