RICARDO GUTIERREZ (NPI# 1396029641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396029641 |
| Entity Type | Individual |
| Full Name | RICARDO GUTIERREZ |
| Credential | SOIDC |
| Practice Address |
400 Boysenberry Ln Hubert NC 28539 |
| Practice Telephone | 9105771621 |
| Mailing Telephone | 9105771621 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366673741 | Ricardo Francisco Gutierrez | Nurse Practitioner | 1800 Sw 27th Ave Ste 214, Miami, FL 33145-2455 | 2009-08-03 |
| 1225249477 | Ricardo Rodolfo Gutierrez | Emergency Medicine | 5514 35th St Nw, Gig Harbor, WA 98335-7633 | 2007-05-26 |
| 1144353830 | Ricardo Ibay Gutierrez Jr. | Dentist | 14400 Roscoe Blvd Ste A, Panorama City, CA 91402-3001 | 2007-03-13 |
| 1528191343 | Ricardo Gutierrez | Case Manager/Care Coordinator | 3208 Rosemead Blvd Suite 200, El Monte, CA 91731 | 2007-03-13 |
| 1386750123 | Ricardo Gutierrez | Nurse Practitioner | 301 S 17th St, Donna, TX 78537-3438 | 2006-08-22 |
| 1770015505 | Ricardo Douglas Gutierrez | Student in an Organized Health Care Education/Training Program | 505 S Main St, Suite 525, Orange, CA 92868-4509 | 2017-03-30 |
| 1164875225 | Ricardo Gutierrez | Specialist | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2016-07-13 |
| 1013275247 | Ricardo Jorge Gutierrez | Occupational Therapist | 8135 Painter Ave, Suite 200, Whittier, CA 90602-3158 | 2012-04-25 |
| 1316196090 | Ricardo Gutierrez | Physical Therapist | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2008-09-17 |
| 1851547319 | Ricardo Jesus Gutierrez | Physical Therapy Assistant | 5413 N Mccoll Rd, Mcallen, TX 78504-2206 | 2008-08-14 |
| Street Address |
400 BOYSENBERRY LN |
| City | HUBERT |
| State | NC |
| Zip Code | 28539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659913069 | Bethany Joy Cobbs | Counselor | 232 Smallwood Road, Hubert, NC 28539 | 2019-10-17 |
| 1861954349 | Kayla Nicole Flieger | Registered Nurse | 119 Sonia Drive, Hubert, NC 28539 | 2019-04-03 |
| 1871819003 | Jennifer Ann Jones | Licensed Practical Nurse | 413 Peppermint Drive, Hubert, NC 28539 | 2010-04-13 |
| 1154512457 | Joseph Armand Clairmont Jr. | Military Health Care Provider | 229 Parnell Rd, Hubert, NC 28539 | 2007-08-05 |
| 1770705303 | Jane Gray Mccoy | Registered Nurse | 223 Charlie Taylor Road, Hubert, NC 28539 | 2007-05-03 |
| 1538384482 | Gloria Tolson Sanders | Physical Therapist | 146 Stewart Pt Rd, Hubert, NC 28539 | 2007-04-16 |
| 1366596652 | Carobell, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 561 Queen's Creek Road, Hubert, NC 28539 | 2007-01-23 |
| 1114951761 | Susan Meyer | Counselor | Cape Carteret Wellness Center, 300 Taylor Norton Rd, Cape Carteret, NC 28539 | 2006-07-10 |
| 1619155819 | Eastern Therapeutic Services, Inc. | Clinic/Center | 146 Stewart Point Rd, Hubert, NC 28539-3440 | 2008-02-11 |
| 1023316569 | Kendrick Cua | Physical Therapist | 146 Stewart Point Rd, Hubert, NC 28539-3440 | 2011-03-08 |
| Find all providers in zip 28539 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274641 | Adam Randolph Smith | Military Health Care Provider | 205 Wintergreen Ln, Hubert, NC 28539-4659 | 2020-08-04 |
| 1376986075 | Matthew Gene Nelson | Military Health Care Provider | 212 Wintergreen Ln, Hubert, NC 28539-4659 | 2013-04-11 |
| 1902092679 | Benjamin Paul Hebert | Military Health Care Provider | 311 Rack Ln, Hubert, NC 28539-4547 | 2007-09-17 |
| 1154512457 | Joseph Armand Clairmont Jr. | Military Health Care Provider | 229 Parnell Rd, Hubert, NC 28539 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820002 | Levi Para | Military Health Care Provider | 2d Reconnaissance Bn, Psc 20138, Camp Lejeune, NC 28452-0138 | 2020-10-29 |
| 1427661743 | Russ C Garlinghouse | Military Health Care Provider | Rr 616, Stone Bay, NC 28460 | 2020-08-26 |
| 1164033197 | Brian David Bjerke | Military Health Care Provider | 612 Everrett Creek Road, Snead's Ferry, NC 28460 | 2020-08-13 |
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1790309565 | Jason C Smith | Military Health Care Provider | 113 Barrington Ct, Maple Hill, NC 28454-8659 | 2020-06-08 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1003444928 | Andres Martin Rodoni | Military Health Care Provider | 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 | 2020-03-27 |
| 1699306670 | Dominick Ciampo | Military Health Care Provider | A66 Boat Basin Road, Camp Lejeune, NC 28542 | 2020-01-29 |
| 1487294682 | Daniel Scott Porterfield | Military Health Care Provider | Building Rr612, Loop Rd, Sneads Ferry, NC 28460 | 2020-01-15 |
| 1316584543 | Christina Koch | Military Health Care Provider | 104 Eagle River Ct, Jacksonville, NC 28540-7745 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RICARDO GUTIERREZ.
| 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.