MS. EDNA GAIL GUTIERREZ (NPI# 1376536854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376536854 |
| Entity Type | Individual |
| Full Name | MS. EDNA GAIL GUTIERREZ |
| Other Name | EDNA GAIL JOHNSON |
| Credential | CNP |
| Practice Address |
121 N. Main Melrose NM 88124 |
| Mailing Address |
Po Box 299 Portales NM 88130-0299 |
| Practice Telephone | 5752534373 |
| Practice Fax Number | 5752534575 |
| Mailing Telephone | 5753566652 |
| Mailing Fax Number | 5753596827 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2016-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP00610 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R30396 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
121 N. MAIN |
| City | MELROSE |
| State | NM |
| Zip Code | 88124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219002 | Zanessa D. Kastler | Social Worker | 1462 Cran, Melrose, NM 88124 | 2020-09-15 |
| 1275689366 | Karla Annette Moore | Speech-Language Pathologist | 100 East Missouri, Melrose, NM 88124 | 2007-01-25 |
| 1790072478 | La Casa De Buena Salud Inc | Clinic/Center | 121 N Main St, Melrose, NM 88124 | 2011-07-01 |
| 1669688735 | Village of Melrose | Ambulance | 400 5th St, Melrose, NM 88124-0398 | 2007-05-15 |
| 1427375542 | Tammie Jean Jacobs | Occupational Therapy Assistant | 3624 Cr 12, Melrose, NM 88124-9400 | 2010-04-28 |
| 1154770618 | Roosevelt County Special Hospital District | Clinic/Center | 121 Main St, Melrose, NM 88124-9680 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747435 | Jackline Alston | Counselor | 50 Lebanon St, Melrose, MA 02176-6311 | 2020-10-12 |
| 1235736489 | Jillian M Boyle | Counselor | 500 Main St Apt 5, Melrose, MA 02176-3828 | 2020-10-01 |
| 1639785462 | Hair Loss Center of Boston LLC | Case Management | 123 Ashland St # 2, Melrose, MA 02176-1235 | 2020-09-17 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
| 1740807528 | Centi Psychological Services Pllc | Psychologist | 35 Renwick Rd, Melrose, MA 02176-1218 | 2020-06-29 |
| 1316562341 | Jonathan Reza Alihosseini | Dentist | 820 Lynn Fells Pkwy, Melrose, MA 02176-2506 | 2020-06-16 |
| 1376179366 | Jessica W Cheung | Physical Therapist | 585 Lebanon St Ste 401, Melrose, MA 02176-3225 | 2020-03-21 |
| 1912531708 | Christine Mccarthy Clark | Dietitian, Registered | 1 W Foster St Ste 3, Melrose, MA 02176-3879 | 2020-03-02 |
| 1033752514 | Molly Rose Camelo | Specialist/Technologist | 375 Swains Pond Ave, Melrose, MA 02176-5811 | 2019-10-28 |
| 1407403678 | Samantha Eileen Ruggiero | Psychologist | 66 E Wyoming Ave # 3, Melrose, MA 02176-4715 | 2019-08-22 |
| Find all providers in MELROSE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255816534 | Alyssa M Maki | Nurse Practitioner | 50 Tremont St Ste 104, Melrose, MA 02176-2721 | 2018-10-02 |
| 1487166021 | Sandra June Northway | Nurse Practitioner | 1326 Fl-100 Melrose, Fl 32666, Melrose, FL 32666 | 2017-11-03 |
| 1396274445 | Mary A Tompkins | Nurse Practitioner | 153 Skyline Dr, Melrose, NY 12121-1922 | 2017-06-11 |
| 1831230564 | Delcora Howell | Nurse Practitioner | 1745 State Road 100, Melrose, FL 32666-3146 | 2007-02-08 |
| 1306456256 | Jill Marie Wilcken | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2020-08-05 |
| 1871118604 | Heart 2 Heart Family Practice | Nurse Practitioner | 1326 State Road 100, Melrose, FL 32666-3701 | 2020-06-08 |
| 1952955320 | Joshua Larson | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2019-07-24 |
| 1346727211 | Jennifer Rose Tomford | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2018-07-24 |
| 1720565617 | Elaine Mary Thelen | Nurse Practitioner | 525 Main St W, Melrose, MN 56352-1043 | 2018-07-24 |
| 1104359777 | Ikhlas Sarabi | Nurse Practitioner | 585 Lebanon St, Melrose, MA 02176-3225 | 2017-04-10 |
| Find all providers in MELROSE | ||||
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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.