Individual provider Active NPI

Christina Alyssa Gutierrez

  • Nurse Practitioner
  • San Luis, AZ
National Provider Identifier
1609399989
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP10578 Issued in AZ
Practice address
1233 N Main St Ste 1a
San Luis, AZ 85349
Phone
(928) 550-5514
NPI assigned
Jul 19, 2017
Last updated
Aug 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP134422 TX
Nurse Practitioner 363L00000X AP10578 AZ Primary
Registered Nurse 163W00000X 819584 TX

Addresses

Primary practice location

1233 N Main St Ste 1a
San Luis, AZ 85349

Mailing address

592 County Road 384
Gonzales, TX 78629-6872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181204003846 TX Practitioner - Nurse Practitioner 7618237884 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
819584TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC Multi-Specialty CurrentSince Nov 13, 2018 Accepting new patients
Travis County Emergency Physicians PA Multi-Specialty CurrentSince Jan 20, 2022 Accepting new patients
The Emergency Clinic of Floresville, LLC Past Accepting new patients
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc PastSince Jun 15, 2019 Accepting new patients

Locations

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

7703 Briaridge Dr
San Antonio, TX 78230
Phone (210) 223-5521

Interoperability endpoints

  • Direct secure messaging: christina.gutierrez.1@26407.direct.athenahealth.com
  • Direct secure messaging: christina.gutierrez.1@30520.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1609399989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 COUNTY ROAD 384",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786296872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MAIN ST STE 1A",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85349",
            "telephone_number": "928-550-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CHRISTINA",
        "middle_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134422",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10578",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "819584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis, AZ

Sources for this page

Verify at the official NPI Registry.