Randy Gutierrez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

203 California St NE
Albuquerque, NM 87108-1802

Phone

(505) 308-8296

Fax

(505) 433-5096

NPI assigned

Dec 22, 2023

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Empower Health Services LLC

  • Community Health Worker
  • Albuquerque, NM
  • NPI 1801760756
  NPD
• State of the Heart Recovery

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1871137042
  NPD (past)

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1952170649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CALIFORNIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081802",
            "telephone_number": "505-308-8296",
            "fax_number": "505-433-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CALIFORNIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081802",
            "telephone_number": "505-308-8296",
            "fax_number": "505-433-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "RANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Gutierrez
• Pamela Gutierrez, RN CDE
• Pamela Ann Gutierrez, LADAC
• Priscilla Marie Gutierrez, M.S., LMHC
• Rachel Gutierrez
• Reuben G Gutierrez, DDS
• Roselle Julie Gutierrez, NP
• Samantha Gutierrez
• Sandra P Gutierrez, DNP
• Shanna Dominica Gutierrez, LTC HOME CARE, LLC

• Case Manager/Care Coordinator in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.