TRACY JOY GUTIERREZ (NPI# 1508134883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508134883 |
| Entity Type | Individual |
| Full Name | TRACY JOY GUTIERREZ |
| Credential | MT |
| Practice Address |
107 H Street East Laboratory Poplar MT 59255-0067 |
| Practice Telephone | 4067682172 |
| Practice Fax Number | 4067683435 |
| Mailing Telephone | 4067682172 |
| Mailing Fax Number | 4067683435 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336113091 | Tracy Lynn Gutierrez | Family Medicine | 7070 Samuel Morse Dr, Suite 100, Columbia, MD 21046-3405 | 2006-02-17 |
| 1780143362 | Tracy Janet Gutierrez | Behavior Technician | 1320 E Shaw Ave Ste 110, Fresno, CA 93710-7905 | 2019-03-13 |
| 1336232800 | Tracy L Gutierrez | Dentist | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-10-02 |
| Street Address |
107 H STREET EAST LABORATORY |
| City | POPLAR |
| State | MT |
| Zip Code | 59255-0067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851352736 | Connie M Sherer | Nurse Practitioner | 107 H Street East, Poplar, MT 59255-0067 | 2006-03-30 |
| 1821570599 | Glenna S Thompson | Dental Hygienist | 107 H Street East, Poplar, MT 59255-0067 | 2018-08-30 |
| 1407257215 | Virginia Nicholas | Registered Nurse | 107 H Street East, Poplar, MT 59255-0067 | 2014-09-11 |
| 1306272539 | Rachel De Ryan | Specialist/Technologist, Other | 107 H Street East, Poplar, MT 59255-0067 | 2013-09-19 |
| 1710311659 | David Michael Korkowski | Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-08-28 |
| 1821420944 | Sherri Lynn Noonan | Registered Nurse | 107 H Street East, Poplar, MT 59255-0067 | 2013-07-31 |
| 1962842344 | Denys L Hanto | Registered Nurse | 107 H Street East, Poplar, MT 59255-0067 | 2013-06-28 |
| 1336587740 | Sandra Slay Poyner | Pathology | 107 H Street East, Box 67, Poplar, MT 59255-0067 | 2013-06-07 |
| 1801234257 | Terese Ann Ogrinc-paulus | Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-06-07 |
| 1588007959 | Mark Wray Korman | Spec/Tech, Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200178 | Christine Bauer | Dietitian, Registered | 417 13th Avenue East, Poplar, MT 59255 | 2018-10-08 |
| 1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
| 1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
| 1053858001 | Madonna Mcconnell | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-01-30 |
| 1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
| 1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
| 1366898181 | Rachel Hawker | Respiratory Therapist, Registered | 417 East 13th, Poplar, MT 59255 | 2016-05-11 |
| 1144623133 | Jennifer Tolman | Dental Hygienist | 417 13th Ave E, Poplar, MT 59255 | 2014-10-03 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| Find all providers in zip 59255 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871910356 | Aimee Tau | Specialist/Technologist, Other | 2307 W. Main Street Apt 112, Bozeman, MT 59718 | 2014-03-24 |
| 1033263017 | Heidi Jenkins | Specialist/Technologist, Other | 2802 Great Northern Loop, Missoula, MT 59808-1738 | 2007-01-23 |
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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.