Active NPI
Stephanie Gutierrez-Guerrero, CMA
- Nurse's Aide
- Yakima, WA
National Provider Identifier
1861038812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 918 E Mead Ave
Yakima, WA 98903-3720 - Phone
- (509) 453-1344
- Fax
- (509) 453-2209
- NPI assigned
- Nov 25, 2019
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
918 E Mead Ave
Yakima, WA 98903-3720
Mailing address
5607 Hilltop Dr
Yakima, WA 98901-1630
Phone (509) 969-5161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM60700905 | Other | WA | CERTIFIED MEDICAL ASSISTANT |
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
- Certified Medical Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1861038812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5607 HILLTOP DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989011630",
"telephone_number": "509-969-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 E MEAD AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989033720",
"telephone_number": "509-453-1344",
"fax_number": "509-453-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ-GUERRERO",
"first_name": "STEPHANIE",
"credential": "CMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED MEDICAL ASSISTANT",
"identifier": "CM60700905",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.