Angel Dimitrina Gutierrez, BA, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA13029 Issued in AZ

Practice address

101 S Airpark Rd
Cottonwood, AZ 86326-4182

Phone

(928) 639-2694

NPI assigned

May 19, 2021

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

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1508430885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E CHAPARRAL DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264915",
            "telephone_number": "928-202-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S AIRPARK RD",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264182",
            "telephone_number": "928-639-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANGEL",
        "middle_name": "DIMITRINA",
        "credential": "BA, SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA13029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Walker Guinn, LPC
• Meghan Gula
• Mansha Gupta, M.D.
• Palak Gupta
• William Fred Guth Jr., D.D.S.
• Eric Alexander Haggard, P.T.
• Linda M Haggard, PAC
• William Hallier, M.D.
• Nina Hames
• Christopher Hance, DC

• Speech-Language Assistant in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.