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1215277132 NPI number — ROSA ANGELINA TAPIA-GUTIERREZ

NPI Number: 1215277132
Health Care Provider/Practitioner: ROSA ANGELINA TAPIA-GUTIERREZ

Information about “1215277132” NPI (ROSA ANGELINA TAPIA-GUTIERREZ) exists in 1215277132 in HTML format HTML  |  1215277132 in plain Text format TXT  |  1215277132 in PDF (Portable Document Format) PDF  |  1215277132 in an XML format XML  formats.

NPI Number : 1215277132 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215277132",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAPIA-GUTIERREZ",
    "FirstName": "ROSA",
    "MiddleName": "ANGELINA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TAPIA",
    "OtherFirstName": "ROSA",
    "OtherMiddleName": "ANGELINA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "BREINING INSTITUTE",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2400A COUNTY CENTER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ROSA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95403-3004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-565-8053",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2400A COUNTY CENTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ROSA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95403-3004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-565-8053",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2013",
    "LastUpdateDate": "02/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": "6711",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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