Individual provider Active NPI

Jaime Denise Guttierrez, NP-C

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1548648157
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R878356 Issued in MS
Practice address
1025 Division St
Biloxi, MS 39530-2906
Phone
(228) 388-2599
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R878356 MS Primary

Addresses

Primary practice location

1025 Division St
Biloxi, MS 39530-2906

Mailing address

321 Division Street
Biloxi, MS 39530
Phone (228) 223-8925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180319001343 MS Practitioner - Nurse Practitioner 4183986748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R878356MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc Current Accepting new patients
Coastal Family Health Center, Inc CurrentSince Mar 5, 2018 Accepting new patients
Coastal Family Health Center, Inc. CurrentSince Mar 5, 2018 Accepting new patients
Singing River Health System Past Accepting new patients
Medical Analysis LLC Past Accepting new patients

Locations

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

735 Division St
Biloxi, MS 39530
Phone (228) 386-1190

Interoperability endpoints

  • Direct secure messaging: jaime.hallman.p1@direct.cfhc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1548648157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 DIVISION STREET",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39530",
            "telephone_number": "228-223-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DIVISION ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302906",
            "telephone_number": "228-388-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTIERREZ",
        "first_name": "JAIME",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R878356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.