Individual provider Active NPI

Rosalba D Gutierrez, ROSALBA GUTIERREZ

  • Lactation Consultant (Non-RN)
  • Missouri City, TX
National Provider Identifier
1790030997
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
10039 Plantation Mill PL
Missouri City, TX 77459-6529
Phone
(281) 725-8200
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

10039 Plantation Mill PL
Missouri City, TX 77459-6529

Mailing address

10039 Plantation Mill PL
Missouri City, TX 77459-6529
Phone (281) 725-8200

Other names 1

  • Rosalba Gutierrez Other name

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1790030997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10039 PLANTATION MILL PL",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596529",
            "telephone_number": "281-725-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10039 PLANTATION MILL PL",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596529",
            "telephone_number": "281-725-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ROSALBA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "ROSALBA GUTIERREZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALBA",
            "last_name": "GUTIERREZ",
            "credential": "MS, IBCLC, RLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.