Individual provider Active NPI

Ashley Gutierrez, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1891142790
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6050 Issued in NC
Practice address
6041 Piedmont Row Dr S
Charlotte, NC 28210-4967
Phone
(980) 443-6760
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6050 NC Primary

Addresses

Primary practice location

6041 Piedmont Row Dr S
Charlotte, NC 28210-4967

Mailing address

9112 Nolley CT Unit F
Charlotte, NC 28270-3407
Phone (910) 398-5801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160816000210 NC Practitioner - Qualified Speech Language Pathologist 3274827118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of North Carolina at Chapel Hill School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1807 Windsor Run LN
Matthews, NC 28105-0124
Phone (980) 375-6558

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6050NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Mar 26, 2024 Accepting new patients
Thomas Speech Therapy Services PLLC Speech-Language Pathologist CurrentSince Jan 1, 2016 Accepting new patients
Legacy Healthcare Services, Inc. Speech-Language Pathologist CurrentSince Mar 26, 2024 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince May 14, 2024 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince May 14, 2024 Accepting new patients
Carolina Rehabilitation Inc PastSince Aug 1, 2004 Accepting new patients

Locations

6041 Piedmont Row Dr S
Charlotte, NC 28210
Phone (704) 900-8539

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250

1807 Windsor Run Ln
Matthews, NC 28105
Phone (704) 443-6200

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

4501 Main St
Ste 5
Shallotte, NC 28470
Phone (910) 612-1002

2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123

20 Medical Campus Dr NW
Ste 204
Supply, NC 28462
Phone (910) 612-1002

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1891142790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9112 NOLLEY CT UNIT F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282703407",
            "telephone_number": "910-398-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 PIEDMONT ROW DR S",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104967",
            "telephone_number": "980-443-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.