Active NPI
Brianna Gutheridge, MS
- Case Manager/Care Coordinator
- Jefferson, WI
National Provider Identifier
1801629944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1541 Annex Rd
Jefferson, WI 53549-9803 - Phone
- (920) 674-5961
- NPI assigned
- Aug 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1541 Annex Rd
Jefferson, WI 53549-9803
Mailing address
1541 Annex Rd
Jefferson, WI 53549-9803
Phone (920) 674-5961
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bgutheridge@jeffersoncountywi.gov | Direct |
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1801629944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 ANNEX RD",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535499803",
"telephone_number": "920-674-5961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 ANNEX RD",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535499803",
"telephone_number": "920-674-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHERIDGE",
"first_name": "BRIANNA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bgutheridge@jeffersoncountywi.gov",
"affiliation": "N",
"endpointDescription": "SECURE EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1541 Annex Rd",
"city": "Jefferson",
"state": "WI",
"country_code": "US",
"postal_code": "535499803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jefferson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.