VANESSA IVETTE GUTIERREZ RN PNP CRNP NPI 1194292763

NPI Information

  • NPI: 1194292763
  • Provider Name: VANESSA IVETTE GUTIERREZ, RN, PNP, CRNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10775 PIONEER TRL STE 215
    TRUCKEE, CA
    ZIP 96161
  • Phone: (415) 424-4266

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NPI Details

Vanessa Ivette Gutierrez, RN, PNP, CRNP is a pediatrics nurse practitioner in Truckee, CA. Vanessa Ivette Gutierrez, RN, PNP, CRNP NPI is 1194292763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10775 PIONEER TRL STE 215
TRUCKEE, CA
ZIP 96161-234
Phone: (415) 424-4266
Fax: (415) 520-6633

The NPI 1194292763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 5/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsR265873MARYLANDNo
2363LP0200XNurse PractitionerPediatricsAPRN11031756FLORIDANo
3363LP0200XNurse PractitionerPediatrics95009713CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100366410MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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