Individual provider Active NPI

Barbara Jo Gutstadt, BS,CEA

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1881885606
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
11150 Harbour Yacht CT
C
Fort Myers, FL 33908-1150
Phone
(239) 823-0904
Fax
(239) 433-5977
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FL Primary

Addresses

Primary practice location

11150 Harbour Yacht CT
C
Fort Myers, FL 33908-1150

Mailing address

11150 Harbour Yacht CT
C
Fort Myers, FL 33908-1150
Phone (239) 823-0904

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
692502296FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1881885606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 HARBOUR YACHT CT",
            "address_2": "C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081150",
            "telephone_number": "239-823-0904",
            "fax_number": "239-433-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HARBOUR YACHT CT",
            "address_2": "C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081150",
            "telephone_number": "239-823-0904",
            "fax_number": "239-433-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSTADT",
        "first_name": "BARBARA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "BS,CEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.