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1346909413 NPI number — NANCY G GUTIERREZ

NPI Number: 1346909413
Health Care Provider/Practitioner: NANCY G GUTIERREZ

Information about “1346909413” NPI (NANCY G GUTIERREZ) exists in 1346909413 in HTML format HTML  |  1346909413 in plain Text format TXT  |  1346909413 in PDF (Portable Document Format) PDF  |  1346909413 in an XML format XML  formats.

NPI Number : 1346909413 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346909413",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUTIERREZ",
    "FirstName": "NANCY",
    "MiddleName": "G",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "900 E GILBERT ST STE 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN BERNARDINO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92415-0936",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-601-0915",
    "MailingAddressFaxNumber": "909-387-7047",
    "FirstLinePracticeLocationAddress": "900 E GILBERT ST STE 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN BERNARDINO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92415-0936",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-601-0915",
    "PracticeLocationAddressFaxNumber": "909-387-7047",
    "EnumerationDate": "12/15/2021",
    "LastUpdateDate": "06/04/2025",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "172V00000X",
          "TaxonomyName": "Community Health Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "373H00000X",
          "TaxonomyName": "Day Training/Habilitation Specialist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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