Active NPI
Carolyn M Artime Gutierrez, M.A.
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1659714962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106944
- Practice address
- 11220 Crazy Well Dr
Austin, TX 78717-4494 - Phone
- (408) 510-2635
- NPI assigned
- Apr 17, 2013
- Last updated
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106944 | TX | Primary |
Addresses
Primary practice location
11220 Crazy Well Dr
Austin, TX 78717-4494
Mailing address
11220 Crazy Well Dr
Austin, TX 78717-4494
Phone (408) 510-2635
Other names 1
- Carolyn Artime
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106944 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1659714962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11220 CRAZY WELL DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787174494",
"telephone_number": "408-510-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11220 CRAZY WELL DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787174494",
"telephone_number": "408-510-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTIME GUTIERREZ",
"first_name": "CAROLYN",
"middle_name": "M",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "ARTIME",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.