KELLY ANN GUTIERREZ (NPI# 1982190310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982190310 |
| Entity Type | Individual |
| Full Name | KELLY ANN GUTIERREZ |
| Other Name | KELLY ANN REGAN |
| Credential | PHD |
| Practice Address |
1901 Martin Luther King Jr Way S Seattle WA 98144-4801 |
| Mailing Address |
1408 12th Ave Unit 202 Seattle WA 98122-3959 |
| Practice Telephone | 2063227676 |
| Mailing Telephone | 9139081438 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013253301 | Kelly L. Gutierrez | Social Worker | 2975 S. Rainbow Blvd, Las Vegas, NV 89146 | 2012-12-14 |
| 1447607221 | Kelly Gutierrez | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2016-05-20 |
| Street Address |
1901 MARTIN LUTHER KING JR WAY S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780756080 | Therapeutic Health Services | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2006-11-14 |
| 1881291839 | Ashley De'anna Albert | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2020-10-02 |
| 1134735673 | Chelsea Amanda Joynes | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2020-09-21 |
| 1164048393 | Samantha B. Hoffmann | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2020-06-23 |
| 1427671296 | Dyshay Carter | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2020-05-27 |
| 1285275990 | Aviona India Gaines | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2019-10-03 |
| 1851942049 | Danielle Nicole Henry | Student in an Organized Health Care Education/Training Program | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2019-09-27 |
| 1952959843 | Jessalyn Olivia Jackson | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2019-09-03 |
| 1316595713 | Marcelina Chavez-penner | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2019-08-28 |
| 1699336818 | Emily Ruth Bogen | Counselor | 1901 Martin Luther King Jr Way S, Seattle, WA 98144-4801 | 2019-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1336751684 | Binabahen Shah | Student in an Organized Health Care Education/Training Program | 6035 4th Ave Nw, Seattle, WA 98107-2109 | 2020-08-18 |
| 1316558968 | Jimmy Nguyen | Student in an Organized Health Care Education/Training Program | 5525 23rd Ave S, Seattle, WA 98108-2918 | 2020-08-16 |
| 1174133672 | Selomie Habtemichael | Student in an Organized Health Care Education/Training Program | 10000 30th Ave Sw, Seattle, WA 98146-3720 | 2020-08-09 |
| 1659980720 | Joseph Banham | Student in an Organized Health Care Education/Training Program | 12057 Lakeside Pl Ne, Seattle, WA 98125-5956 | 2020-07-24 |
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1659993723 | Caroline Mullins | Student in an Organized Health Care Education/Training Program | 701 N 36th St Ste 3000, Seattle, WA 98103-8868 | 2020-05-12 |
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1669092128 | Ahmed Abdelrazek | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, 356560, Department of Psychiart, Seattle, WA 98195-6560 | 2020-04-24 |
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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.