Active NPI
Kayla Jewell Gutierrez
- Registered Nurse
- Fenton, MI
National Provider Identifier
1780397885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704353444
- Practice address
- 15200 Silver Pkwy Apt 203
Fenton, MI 48430-3482 - Phone
- (810) 449-0248
- NPI assigned
- Jan 4, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704353444 | MI | Primary |
Addresses
Primary practice location
15200 Silver Pkwy Apt 203
Fenton, MI 48430-3482
Mailing address
15200 Silver Pkwy Apt 203
Fenton, MI 48430-3482
Phone (810) 449-0248
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704353444 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1780397885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 SILVER PKWY APT 203",
"city": "FENTON",
"state": "MI",
"postal_code": "484303482",
"telephone_number": "810-449-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 SILVER PKWY APT 203",
"city": "FENTON",
"state": "MI",
"postal_code": "484303482",
"telephone_number": "810-449-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "KAYLA",
"middle_name": "JEWELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704353444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.