Individual provider Active NPI

Danielle Gutierrez

  • Speech-Language Pathologist
  • Purchase, NY
National Provider Identifier
1649757600
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
028823 Issued in NY
Practice address
2700 Westchester Ave
Purchase, NY 10577
Phone
(914) 328-2868
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X 028823 NY Primary

Addresses

Primary practice location

2700 Westchester Ave
Purchase, NY 10577

Mailing address

93 Lions Head Dr W
Wayne, NJ 07470-4053
Phone (551) 500-4856

Other practice location 1

2700 Westchester Ave
Purchase, NY 10577
Phone (914) 328-2868 ext. 540

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1649757600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 LIONS HEAD DR W",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704053",
            "telephone_number": "551-500-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "10577",
            "telephone_number": "914-328-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Purchase",
            "state": "NY",
            "postal_code": "10577",
            "country_code": "US",
            "telephone_number": "914-328-2868 x540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.