Elise Gutacker, RDH, PHDHP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH069846 Issued in PA

Practice address

1001 E 2ND St
Coudersport, PA 16915-8161

Phone

(814) 274-5252

NPI assigned

Sep 4, 2026

Last updated

Sep 4, 2026By 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

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1508775537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 COSTELLO RD",
            "city": "AUSTIN",
            "state": "PA",
            "postal_code": "167201616",
            "telephone_number": "814-274-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161",
            "telephone_number": "814-274-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTACKER",
        "first_name": "ELISE",
        "credential": "RDH, PHDHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH069846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal A Gibbs, CRNA
• Brianne Gleason, ATC
• Cody William Greene, DPT
• Kamme Guisto, PA-C
• Kara Nicole Gustin, WHNP-BC
• Haven Community Health Services, LLC (HCHS, LLC)
• HCF of Sweden Valley, Inc. (Sweden Valley Manor)
• Nicholas Heiser, DO
• Andrea Wilson Heller, D.O.
• Makayla Brooke Hockenbrock, MS, OTR/L

• Dental Hygienist in Coudersport, PA
• Providers in Coudersport, PA by specialty
• Dental Hygienist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.