ANDREA GUTIERREZ (NPI# 1811557697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811557697 |
| Entity Type | Individual |
| Full Name | ANDREA GUTIERREZ |
| Credential | LAT, ATC |
| Practice Address |
11200 N 83rd Ave Peoria AZ 85345-5945 |
| Mailing Address |
20153 W Sherman St Buckeye AZ 85326-8168 |
| Practice Telephone | 6234866310 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ATR-001431 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164447785 | Andrea M Gutierrez | Family Medicine | 1 Royce Circle Suite 104, Uconn Medical Group, Storrs, CT 06268 | 2006-07-13 |
| 1609431113 | Andrea Gutierrez | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-05-09 |
| 1295290468 | Andrea Gutierrez | Behavior Technician | 1200 Concord Ave Ste 100, Concord, CA 94520-4969 | 2019-02-01 |
| 1215432679 | Andrea Gutierrez | Registered Nurse | 6400 Uptown Blvd Ne Ste 360, Albuquerque, NM 87110-4202 | 2018-03-28 |
| 1538608187 | Andrea Gutierrez | Counselor | 265 San Jacinto River Rd, Lake Elsinore, CA 92530-4400 | 2017-02-15 |
| 1003213539 | Andrea C Gutierrez | Physical Therapist | 325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361-1088 | 2014-11-26 |
| 1306146808 | Andrea S Gutierrez | Pharmacist | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2010-10-30 |
| Street Address |
11200 N 83RD AVE |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760752562 | Juanita Crews | Registered Nurse | 11200 N 83rd Ave, Peoria, AZ 85345-5945 | 2012-01-10 |
| 1649636713 | Alifonzo Wilczek Garcia Jr. | Specialist/Technologist | 11200 N 83rd Ave, Peoria, AZ 85345-5945 | 2016-01-05 |
| 1528464153 | Fernando Alvidrez | Specialist/Technologist | 11200 N 83rd Ave, Peoria, AZ 85345-5945 | 2014-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513367 | Kathryn Spicer | Specialist/Technologist | 7525 W Mary Jane Ln, Peoria, AZ 85382-4819 | 2020-09-21 |
| 1558847350 | Abel Eulogio Fernandez | Specialist/Technologist | 7733 W Crocus Dr, Peoria, AZ 85381-8522 | 2018-07-14 |
| 1770085995 | Gregory Lee Gaa | Specialist/Technologist | 7800 N Sommer St Ste 608, Peoria, IL 61615-1968 | 2018-03-03 |
| 1770096877 | Michelle Therese Novak | Specialist/Technologist | 2338 W Van Winkle Way Ste 3300, Peoria, IL 61615-7485 | 2017-11-10 |
| 1174058291 | Brooke Willette | Specialist/Technologist | 18210 N 92nd Ln, Peoria, AZ 85382-7707 | 2017-04-26 |
| 1528591351 | Michael R Utter | Specialist/Technologist | 8940 W Kathleen Rd, Peoria, AZ 85382-3727 | 2017-04-08 |
| 1164967394 | Bryan Anthony Thompson | Specialist/Technologist | 8819 W Echo Ln, Peoria, AZ 85345-7834 | 2016-12-26 |
| 1003279340 | Joseph Tarantino | Specialist/Technologist | 8131 W Paradise Ln, Peoria, AZ 85382-3826 | 2016-04-04 |
| 1689049256 | Taylor Coltrin | Specialist/Technologist | 6032 N Teal Wood Cir, Peoria, IL 61615-2231 | 2015-12-08 |
| 1598184988 | Hiroki Sato | Specialist/Technologist | 7631 W Comet Ave, Peoria, AZ 85345-6666 | 2014-04-14 |
| Find all providers in PEORIA | ||||
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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.