Jon M Gutierrez, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

621408 Issued in TX

Practice address

720 Hospital Dr
Andrews, TX 79714-3617

Phone

(432) 464-2483

Fax

(432) 464-2567

NPI assigned

Sep 19, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Andrews County Hospital District

  • Certified Registered Nurse Anesthetist
  • Andrews, TX
  • NPI 1740294479

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Austin Gastroenterology Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1427405810

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Pca Anesthesia

  • Anesthesiology Physician
  • Tempe, AZ
  • NPI 1164804258

  AZ

  Medicare reassignment NPD
• Andrews County Hospital District

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Andrews, TX
  • NPI 1972365245
  NPD
• Carlsbad Medical Center LLC

  • Anesthesiology Physician
  • Carlsbad, NM
  • NPI 1518904168

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Clinton Hma, LLC

  • General Acute Care Hospital
  • Clinton, OK
  • NPI 1326062456
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1992790737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143617",
            "telephone_number": "432-464-2200",
            "fax_number": "432-464-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143617",
            "telephone_number": "432-464-2483",
            "fax_number": "432-464-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JON",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "621408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193544702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193544701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Gibson, PHARM.D., M.S.
• Wyvonee Norstun Goodwin
• Chris Gore, RN, CCM
• Gregory D. Young, DC
• Litina Marie Griffin I, RN
• Jennifer Brook Hada-Ondriezek, D.P.M.
• Eugene Windle Harper, D.D.S.
• Stacey Hastings
• Vivien Anne Ingram, MD
• Dorothy Faye Jackson, RN, FNP

• All providers in Andrews, TX
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.