Individual provider Active NPI

Deanna Nicole Gutierrez, CNP

  • Family Nurse Practitioner
  • North Canton, OH
National Provider Identifier
1578051843
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022512 Issued in OH
Practice address
6512 Whipple Ave NW
North Canton, OH 44720-7340
Phone
(330) 546-0913
Fax
(330) 546-0752
NPI assigned
Apr 23, 2018
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 APRN.CNP.022512 OH Primary

Addresses

Primary practice location

6512 Whipple Ave NW
North Canton, OH 44720-7340

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 363-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180504000963 OH Practitioner - Nurse Practitioner 4688938376 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians

Practice addresses (Care Compare)

1020 Trump Rd NW
Suite 2
Carrollton, OH 44615-8420
Phone (330) 627-0884

1020 Trump Rd NW
Suite 4
Carrollton, OH 44615-8423
Phone (330) 627-0884

211 Scio Rd SW
Carrollton, OH 44615-8521
Phone (330) 627-7055

6512 Whipple Ave NW
North Canton, OH 44720-7340
Phone (330) 449-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince May 1, 2018 Accepting new patients
Aultman North Canton Medical Group CurrentSince Aug 19, 2022 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince May 1, 2018 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Orrville Hospital Foundation CurrentSince Aug 12, 2023 Accepting new patients
Orrville Hospital Foundation CurrentSince Aug 12, 2023 Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
North Canton Medical Foundation Past Accepting new patients

Locations

1939 W State St
Alliance, OH 44601
Phone (330) 238-4455

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

4135 Tuscarawas St W
Canton, OH 44708
Phone (330) 546-0913

1020 Trump Rd NW
Ste 2
Carrollton, OH 44615
Phone (330) 627-0884

1020 Trump Rd NW
Ste 4
Carrollton, OH 44615
Phone (330) 627-0884

4400 N High St
Ste 101
Columbus, OH 43214
Phone (614) 263-4400

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

211 Edgefield Blvd
Marion, OH 43302
Phone (440) 213-0073

6512 Whipple Ave NW
North Canton, OH 44720
Phone (330) 499-5600

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

4164 Burbank Rd
Wooster, OH 44691
Phone (330) 345-8032

101 S Orange St
Xenia, OH 45385
Phone (937) 271-0066

Interoperability endpoints

  • Direct secure messaging: deanna.gutierrez@direct.aultman.org

Organizations & group practices 11

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1578051843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-363-7444",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207340",
            "telephone_number": "330-546-0913",
            "fax_number": "330-546-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DEANNA",
        "middle_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.