CHANTHY GUTIERREZ (NPI# 1205368990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205368990 |
| Entity Type | Individual |
| Full Name | CHANTHY GUTIERREZ |
| Practice Address |
120 Health Center Dr Ahoskie NC 27910-8161 |
| Mailing Address |
Po Box 669 Ahoskie NC 27910-0669 |
| Practice Telephone | 2523323548 |
| Practice Fax Number | 2523321665 |
| Mailing Telephone | (252) 209-0237 |
| Mailing Fax Number | 2522090197 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
290618 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 HEALTH CENTER DR |
| City | AHOSKIE |
| State | NC |
| Zip Code | 27910-8161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172818 | Catherine Sargent Brown | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2005-08-24 |
| 1629684642 | Karen Brixon | Registered Nurse | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2020-09-16 |
| 1972137040 | Aline Studstill | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2020-02-27 |
| 1194375584 | Angela Miller | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2019-09-17 |
| 1437715315 | Shannin R Hatch | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2019-05-15 |
| 1548826670 | Arely Dominguez | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2019-05-14 |
| 1215490966 | Xavier Fullerton | Counselor | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2019-04-10 |
| 1538651716 | Morgan Elizabeth Winslow | Physician Assistant | 120 Health Center Dr, Ahoskie, NC 27910 | 2018-06-04 |
| 1376054205 | Sylvia L Coley | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2017-10-18 |
| 1457870974 | Sharon Tyler Mallory | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376039446 | Liberty Healthcare Group LLC | Home Health | 216 Church Street, W, Ahoskie, NC 27910 | 2018-07-02 |
| 1265925697 | Livingwordoutreachministries.com | Health Educator | 208 Carolina Ave S, Ahoskie, NC 27910 | 2018-06-11 |
| 1932623956 | Vernon David Collins | Pharmacist | 925 East Memorial Drive, Ahoskie, NC 27910 | 2017-08-01 |
| 1417484890 | Apoorva Vivek Saoji | Internal Medicine | 500 S Academy St, Hospitalist Department, Attn Lou Harrell, Ahoskie, NC 27910 | 2017-05-17 |
| 1124483532 | Shanta Harrell | Adult Companion | 106 Holloman Avenue, Ahoskie, NC 27910 | 2015-12-30 |
| 1144607623 | All-american Home Care, LLC | In Home Supportive Care | 900 E. Memorial Dr, Ahoskie, NC 27910 | 2015-05-04 |
| 1649660481 | Lindsay Yount Lyall | Physician Assistant | 500 South Academy Street, Ahoskie, NC 27910 | 2015-02-02 |
| 1932506771 | Kathy Massengale | Nurse Practitioner | 312 South Academy Street Suite B, Integrated Family Services, Ahoskie, NC 27910 | 2014-11-21 |
| 1750700795 | Jessica Brown Spruill | Dietitian, Registered | 718 Evans Street, Ahoskie, NC 27910 | 2014-04-07 |
| 1437405578 | Lakeisha Yvette Walker | Counselor | 114b West St S, Ahoskie, NC 27910 | 2012-07-26 |
| Find all providers in zip 27910 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529128 | Ahoskie Medical Practice, Inc | Nurse Practitioner | 703 Catherine Creek Rd S, Ahoskie, NC 27910-3905 | 2019-10-17 |
| 1932506771 | Kathy Massengale | Nurse Practitioner | 312 South Academy Street Suite B, Integrated Family Services, Ahoskie, NC 27910 | 2014-11-21 |
| 1801898911 | Margaret Anne Laskin | Nurse Practitioner | 828 Academy St S, Ahoskie, NC 27910-3263 | 2005-06-01 |
| 1972137040 | Aline Studstill | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2020-02-27 |
| 1194375584 | Angela Miller | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2019-09-17 |
| 1093369977 | Renita Deloatch Smallwood | Nurse Practitioner | 500 Academy St S, Ahoskie, NC 27910-3261 | 2019-07-29 |
| 1437715315 | Shannin R Hatch | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2019-05-15 |
| 1548826670 | Arely Dominguez | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2019-05-14 |
| 1457870974 | Sharon Tyler Mallory | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2017-09-15 |
| 1366815052 | Teresa Lanier Morris | Nurse Practitioner | 120 Health Center Dr, Ahoskie, NC 27910-8161 | 2015-11-04 |
| Find all providers in AHOSKIE | ||||
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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.