Jennifer Lee Guthrie, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME125307 Issued in FL

Practice address

224 Datura St Ste 315
West Palm Beach, FL 33401-5631

Phone

(561) 214-3323

Fax

(561) 828-6247

NPI assigned

Apr 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Grotto Medclub LLC

  • Clinic/Center
  • West Palm Beach, FL
  • NPI 1821505215
  NPD (past)

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1598081416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 DATURA ST STE 315",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015631",
            "telephone_number": "561-214-3323",
            "fax_number": "561-828-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 DATURA ST STE 315",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015631",
            "telephone_number": "561-214-3323",
            "fax_number": "561-828-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME125307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1821505215",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME125307",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jyothi Gunta, M.D
• Robert Gunther, MD, JD, MRO, ABAM
• Brianne Michelle Gupta, APRN
• Shaachi Gupta, MD
• Nicole Gustave
• Yuleivy Gutierrez Garcia
• Stephany L Gutierrez Martinez
• Jaisy Gutierrez
• Lina Maria Gutierrez, APRN
• Maria Eugenia Gutierrez

• General Practice Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.