Shirley B Gutkowski

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1266 W Main St
Sun Prairie, WI 53590-1918

Phone

(608) 318-2800

Fax

(608) 318-1324

NPI assigned

Jun 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Primal Air, LLC

  • Multi-Specialty Clinic/Center
  • Sun Prairie, WI
  • NPI 1306425251
  NPD
• Primal Air, LLC

  • Health Service Clinic/Center
  • Sun Prairie, WI
  • NPI 1437805611
  NPD

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1619315249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SHADOW TRL",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909335",
            "telephone_number": "608-213-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901918",
            "telephone_number": "608-318-2800",
            "fax_number": "608-318-1324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 W Main St",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "535901918",
            "country_code": "US",
            "telephone_number": "608-318-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTKOWSKI",
        "first_name": "SHIRLEY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-07-21",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3747016",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Greytak, DPM
• Jennifer Marie Groehler, O.D.
• Sophia Emily Groff, DC
• Zachary Charles Groff, DC
• Rachel Grzenia-Franchi, MSW, LCSW
• Luke Guttormson, PT
• Tammi Lynn Hagensick, D.C.
• Madeline Hale
• Steven C Hammond, LMT
• Krista Hanley, PHARMD

• Specialist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.