Active NPI
Nohemi Gutierrez Padilla, LPN
- Licensed Practical Nurse
- Winston Salem, NC
National Provider Identifier
1790361897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 89127
- Practice address
- 1906 Alyssum PL
Winston Salem, NC 27127-7557 - Phone
- (336) 671-5780
- NPI assigned
- Mar 20, 2021
- Last updated
- Mar 20, 2021
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 89127 | NC | Primary |
Addresses
Primary practice location
1906 Alyssum PL
Winston Salem, NC 27127-7557
Mailing address
7270 Blue Water Dr
Belews Creek, NC 27009-9617
Phone (336) 671-5780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89127 | Other | NC | PHONE DISCOUNT |
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 |
|---|---|---|---|
| 89127 | NC | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1790361897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7270 BLUE WATER DR",
"city": "BELEWS CREEK",
"state": "NC",
"postal_code": "270099617",
"telephone_number": "336-671-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 ALYSSUM PL",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271277557",
"telephone_number": "336-671-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ PADILLA",
"first_name": "NOHEMI",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "89127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHONE DISCOUNT",
"identifier": "89127",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.