SARINA MARIE GUTIERREZ (NPI# 1366978686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366978686 |
| Entity Type | Individual |
| Full Name | SARINA MARIE GUTIERREZ |
| Other Name | SARINA MARIE GUTIERREZ |
| Credential | PTS |
| Practice Address |
11501 S Villa Ct Alsip IL 60803-4361 |
| Practice Telephone | 7086775673 |
| Mailing Telephone | 7086775673 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 160.007669 | IL | Other Service Providers |
| Street Address |
11501 S VILLA CT |
| City | ALSIP |
| State | IL |
| Zip Code | 60803-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699173013 | American Medical Lab, Ltd | Clinical Medical Laboratory | 5130 W 125th Pl, American Medical Lab, Alsip, IL 60803 | 2014-12-17 |
| 1225387574 | A Touch of Class Dentistry II | Dentist | 12033 S. Pulaski Road, Alsip, IL 60803 | 2012-08-31 |
| 1841431657 | George P. Danos Inc | Dentist | 5101 W 111th St, Alsip, IL 60803 | 2009-03-09 |
| 1194898114 | Vital Rehabilitation & Physical Therapy Inc | Clinic/Center | 11600 S Kedzie, Merrionette Park, IL 60803 | 2006-11-16 |
| 1841203650 | Alsip Dental Arts PC | Dentist | 11107 South Lawler, Alsip, IL 60803 | 2006-08-14 |
| 1477500932 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 12001 S Pulaski Rd, Alsip, IL 60803 | 2006-05-30 |
| 1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
| 1467064360 | Yash Desai | Pharmacist | 12290 S Pulaski Rd, Alsip, IL 60803 | 2020-08-20 |
| 1609293539 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3243 W 115th St, Merrionette Park, IL 60803 | 2014-03-28 |
| 1114357092 | Abdul Hussein Darki | Pediatrics | 11808 S Pulaski Rd, Alsip, IL 60803 | 2013-11-14 |
| Find all providers in zip 60803 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333944 | Ariq Cabbler | Prevention Professional | 5642 S Prairie Ave Apt 3, Chicago, IL 60637-1575 | 2019-12-18 |
| 1891260931 | Kevin Wayne Kackley | Prevention Professional | 897 850e St, Mt Sterling, IL 62353-1798 | 2018-10-04 |
| 1013436765 | Christen Bridgwater | Prevention Professional | 312 Apple River Dr, Naperville, IL 60565-6324 | 2017-09-13 |
| 1891221958 | Anthony Lopez | Prevention Professional | 14011 Kenton Ave, Crestwood, IL 60445-2252 | 2017-05-11 |
| 1164957213 | Excellent Care, LLC | Prevention Professional | 9514 Kedvale Ave, Skokie, IL 60076-1425 | 2017-04-26 |
| 1679008734 | Dr Meda Professional Corporation | Prevention Professional | 1215 N Humphrey Ave, Oak Park, IL 60302-1111 | 2017-04-26 |
| 1801337225 | Danielle Marie Flores | Prevention Professional | 1747 W Goldengate Dr, Addison, IL 60101-1845 | 2017-03-17 |
| 1265039713 | Rashada C James | Prevention Professional | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2020-10-07 |
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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.