Individual provider Active NPI

Ana Maria Bautista-Gutierrez, MD

  • Psychiatry Physician
  • Bethany, OK
National Provider Identifier
1952396947
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15052 Issued in OK
Practice address
7530 NW 25TH St
Ste B
Bethany, OK 73008-4914
Phone
(405) 495-6340
Fax
(405) 440-9951
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
Yes

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
Doctor of Medicine

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15052 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

7530 NW 25TH St
Ste B
Bethany, OK 73008-4914

Mailing address

7530 NW 25TH St
Ste B
Bethany, OK 73008-4914
Phone (405) 495-6340

Other names 1

NPPES NPI Registry
  • Ana Maria Gutierrez Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2007.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1952396947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 NW 25TH ST",
            "address_2": "STE B",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084914",
            "telephone_number": "405-495-6340",
            "fax_number": "405-440-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 NW 25TH ST",
            "address_2": "STE B",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084914",
            "telephone_number": "405-495-6340",
            "fax_number": "405-440-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA-GUTIERREZ",
        "first_name": "ANA MARIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "15052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "GUTIERREZ",
            "middle_name": "MARIA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.