Andrea Gutierrez, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-001431 Issued in AZ

Practice address

11200 N 83Rd Ave
Peoria, AZ 85345-5945

Phone

(623) 486-6310

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1811557697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20153 W SHERMAN ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455945",
            "telephone_number": "623-486-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANDREA",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-001431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Guidotti, CPNP
• Kevin M Guile
• Ryelle Gunyan
• James Shiu-Kuo Gutcho, MD
• Amber Dawn Gutierrez, MSN, APRN, FNP-BC
• Samantha Gutierrez2, SLP-A
• Gary Michael Gwilt, D.M.D.
• Keith J Haar, MD
• Lisa Haarer, DPT
• Paul D Haas, MD

• Athletic Trainer in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.