Active NPI
Lia Sloan Gutierrez, APRN, FNP-BC
- Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1881685907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 600636
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (210) 884-3308
- NPI assigned
- Oct 31, 2005
- 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 Practitioner | 363L00000X | 600636 | TX | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
496 Chinkapin TRL
New Braunfels, TX 78132-2979
Phone (210) 884-3308
Other practice location 1
5401 Fm 1626
Kyle, TX 78640-6038
Phone (512) 268-1940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088294603 | Medicaid | TX | |
| 88N454 | Other | TX | BCBS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600636 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whiteglove Medical Care - NJ, PC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Newark, NJ
- NPI 1659730984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1881685907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 CHINKAPIN TRL",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781322979",
"telephone_number": "210-884-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "210-884-3308"
}
],
"practiceLocations": [
{
"address_1": "5401 Fm 1626",
"address_purpose": "LOCATION",
"city": "Kyle",
"state": "TX",
"postal_code": "786406038",
"country_code": "US",
"telephone_number": "512-268-1940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "LIA",
"middle_name": "SLOAN",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "600636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "088294603",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88N454",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.