Individual provider Active NPI

Alexia Sosa-Gutierrez

  • Peer Specialist
  • Salem, OR
National Provider Identifier
1619343613
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
3876 Beverly Ave NE BLDG G
Salem, OR 97305-1319
Phone
(503) 576-4531
Fax
(503) 361-2782
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X OR Primary

Addresses

Primary practice location

3876 Beverly Ave NE BLDG G
Salem, OR 97305-1319

Mailing address

3876 Beverly Ave NE BLDG G
Salem, OR 97305-1319
Phone (503) 576-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1619343613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 BEVERLY AVE NE BLDG G",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051319",
            "telephone_number": "503-576-4531",
            "fax_number": "503-361-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 BEVERLY AVE NE BLDG G",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051319",
            "telephone_number": "503-576-4531",
            "fax_number": "503-361-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA-GUTIERREZ",
        "first_name": "ALEXIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.