Active NPI
Christina Alyssa Gutierrez
- Nurse Practitioner
- San Luis, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP10578
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 819584 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health Medical Group LLC | Multi-Specialty | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Multi-Specialty | Current | Accepting new patients |
| The Emergency Clinic of Floresville, LLC | Past | Accepting new patients | |
| Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc | Past | 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
- christina.gutierrez.1@26407.direct.athenahealth.com
- christina.gutierrez.1@30520.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Austin, TX
- NPI 1255640678
Multi-Specialty
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
Multi-Specialty
-
dba Til Midnight Urgent Care
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1306585054
-
dba Chest Diagnostic Therapeutic Services, Inc
- Durable Medical Equipment & Medical Supplies
- Mexia, TX
- NPI 1770589392
-
dba Emergency Care of Floresville
- Emergency Care Clinic/Center
- Floresville, TX
- NPI 1093231268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.