MRS. SUSAN M GUTIERREZ FNP NPI 1356366405

NPI Information

NPI: 1356366405
Provider Name: MRS. SUSAN M GUTIERREZ, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
100 MERCY WAY
JOPLIN, MO
ZIP 64804
Phone: (417) 556-2300
Get Directions

MRS. Susan M Gutierrez, FNP is a family nurse practitioner in Joplin, MO. MRS. Susan M Gutierrez, FNP NPI is 1356366405. 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:

100 MERCY WAY
JOPLIN, MO
ZIP 64804-524
Phone: (417) 556-2300
Fax: (417) 556-2906

The NPI 1356366405 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 7/12/2006 and was last updated on 8/10/2016.

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
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	125666	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	125666	MISSOURI	Yes

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
1	Q00520	MEDICARE UPIN
2	MA2082272	MEDICARE PIN	MISSOURI
3	185426	OTHER	MISSOURI	BCBS
4	428980205	MEDICAID	MISSOURI
5	P01080619	OTHER	MISSOURI	RAIL ROAD MEDICARE
6	200253250D	MEDICAID	KANSAS
7	200022690A	MEDICAID	OKLAHOMA

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: 4/28/2024

NPI Synchronization or Removal

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