Active NPI
Adrian Gutierrez, ATC, LAT
- Athletic Trainer
- Houston, TX
National Provider Identifier
1972332690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT9588
- Practice address
- 12211 Kirby Dr
Houston, TX 77045-4859 - Phone
- (484) 818-2527
- NPI assigned
- Jul 31, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT9588 | PA | Primary |
Addresses
Primary practice location
12211 Kirby Dr
Houston, TX 77045-4859
Mailing address
3838 Alsace St
Houston, TX 77021-2506
Phone (484) 818-2527
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT9588 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1972332690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 ALSACE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770212506",
"telephone_number": "484-818-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12211 KIRBY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770454859",
"telephone_number": "484-818-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ADRIAN",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "AT9588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Antonio Gutierrez-Fernandez, DDS
- Almeyra Grisel Gutierrez-Yanez, LPC
- Abbigail L Gutierrez, PSYD
- Abraham Angel Gutierrez Jr., DC
- Absalon Gutierrez Jr., MD
- Alexander Bautista Gutierrez, P.T.
- Alfred Matthew Gutierrez, MSN, APRN, AGACNP-BC
- Alma R Gutierrez
- Amy Alexandra Gutierrez, MS SLP INTERN
- Anai Yolotzin Gutierrez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.