MRS. DORA G GUTIERREZ (NPI# 1245577360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245577360 |
| Entity Type | Individual |
| Full Name | MRS. DORA G GUTIERREZ |
| Credential | SLPA, AA |
| Practice Address |
1100 W. Clark Rd Box 829 Connell WA 99326-0829 |
| Mailing Address |
1100 W. Clark Rd Po Box 829 Connell WA 99326-0829 |
| Practice Telephone | 5092349218 |
| Practice Fax Number | 5092349204 |
| Mailing Telephone | 5092349218 |
| Mailing Fax Number | 5092349204 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SP 6021648 | WA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | SPEECH LANGUAGE PATHOLOGY ASSISTANT CERTIFACATION | SLPA SP60219648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730467127 | Dora Viviana Gutierrez | Psychologist | 1745 Broadway, 17th Fl., New York, NY 10019-4640 | 2011-08-02 |
| Street Address |
1100 W. CLARK RD BOX 829 |
| City | CONNELL |
| State | WA |
| Zip Code | 99326-0829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392935 | Lois Eileen Smith | Counselor | Coyote Ridge Correction Center, 1301 North Ephrata Ave., Connell, WA 99326 | 2018-10-19 |
| 1538589478 | George Francis Quiggle | Counselor | 1100 W. Grant St., Connell, WA 99326 | 2014-04-18 |
| 1528316379 | Columbia Basin Health Association | Clinic/Center | 1051 S. Columbia Avenue, Connell, WA 99326 | 2012-08-28 |
| 1295011617 | Gary Byron Fletcher | Physician Assistant | 111 N Columbia Avenue, Connell, WA 99326 | 2011-10-31 |
| 1871895987 | Jonathan Neau | Physician Assistant | 1301 N Ephrata Ave, Connell, WA 99326 | 2010-11-22 |
| 1417116385 | Columbia Basin Health Association | Clinic/Center | 1051 S Columbia Avenue, Connell, WA 99326 | 2008-06-05 |
| 1952355448 | Catherine Sue Bilyard | Nurse Practitioner | 650 S Columbia Ave, Connell, WA 99326 | 2006-05-20 |
| 1598749590 | Jaeniffer Ang Kaiser | Nurse Practitioner | 661 South Columbia Avenue, Connell, WA 99326 | 2005-12-02 |
| 1124025721 | Dale T Fetroe | Family Medicine | 1301 Ephrata, C/o Coyote Ridge Correction Center, Connell, WA 99326 | 2005-06-28 |
| 1912185588 | Jon Marcus Raymond Mundall | General Practice | 111 North Columbia Ave, Connell, WA 99326 | 2008-02-06 |
| Find all providers in zip 99326 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639416779 | Gwyn Renee Gregg | Specialist/Technologist | 1100 W Clark Rd # 829, Connell, WA 99326-9700 | 2013-01-09 |
| 1518502988 | Jessica Lynn Forsyth | Specialist/Technologist | 1100 W Clark Rd # 829, Connell, WA 99326-9700 | 2019-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765567 | Holly Jo Dorning | Specialist/Technologist | 9215 29th St Ne, Lake Stevens, WA 98258-4200 | 2020-09-23 |
| 1669087706 | Melissa Dawn Taylor | Specialist/Technologist | 209 Lynch Creek Rd. E., Eatonville, WA 98328 | 2020-09-15 |
| 1659919041 | Kayla Lewis | Specialist/Technologist | 1011 S 4th Ave # B, Walla Walla, WA 99362-4026 | 2019-12-16 |
| 1497304554 | Bridget Thompson | Specialist/Technologist | 316 Washington Ave N, Orting, WA 98360-8404 | 2019-09-10 |
| 1770131633 | Patricia Garcia | Specialist/Technologist | 1979 N Devon Ave, East Wenatchee, WA 98802-5911 | 2019-09-03 |
| 1043779432 | Katharine Maria Levin | Specialist/Technologist | 4420 Ne St Johns Rd, Vancouver, WA 98661-2561 | 2019-03-15 |
| 1821568601 | Christen Ann Harlow | Specialist/Technologist | 250 E Campus Dr, Belfair, WA 98528 | 2018-12-05 |
| 1841765567 | Jami Danielle Rover | Specialist/Technologist | 702 N Granite Ave, Granite Falls, WA 98252-8774 | 2018-10-09 |
| 1083128920 | Leah Rachelle Norrbom | Specialist/Technologist | 2696 State Route 903, Cle Elum, WA 98922-8704 | 2017-11-30 |
| 1710404447 | Lynn Maurer | Specialist/Technologist | Po Box 225, Reardan, WA 99029-0225 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.