Active NPI
Cynthia A Gutierrez, MACCSLP
- Speech-Language Pathologist
- Donna, TX
National Provider Identifier
1699814178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11798
- Practice address
- 3005 E Business Highway 83
Unit a
Donna, TX 78537-3623 - Phone
- (956) 461-2041
- Fax
- (956) 461-2072
- NPI assigned
- Feb 5, 2007
- 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 | 11798 | TX | Primary |
Addresses
Primary practice location
3005 E Business Highway 83
Unit a
Donna, TX 78537-3623
Mailing address
5403 N McColl Rd
McAllen, TX 78504-2206
Phone (956) 661-0777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156832102 | Medicaid | TX | |
| 86321T | Other | TX | BCBS INDIV NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17798 | TX | MD | Counselor |
| 11798 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Paradise Rehab | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Point of Service
- Donna, TX
- NPI 1265700389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1699814178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5403 N MCCOLL RD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785042206",
"telephone_number": "956-661-0777",
"fax_number": "956-973-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 E BUSINESS HIGHWAY 83",
"address_2": "UNIT A",
"city": "DONNA",
"state": "TX",
"postal_code": "785373623",
"telephone_number": "956-461-2041",
"fax_number": "956-461-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "CYNTHIA",
"middle_name": "A",
"credential": "MACCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "11798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156832102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIV NUMBER",
"identifier": "86321T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Donna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.