Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427437151 Individual Practitioner Female Practitioner

Dr. Jacqueline Gutierrez , MD

General Practice • Jbsa Randolph, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Gutierrez, MD is a registered healthcare professional specializing in General Practice in Jbsa Randolph, TX. Practice services are available at 221 3RD ST W BLDG 1040 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

221 3rd St W Bldg 1040

Jbsa Randolph, TX 781504800

Telephone 2106524267

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jbsa Randolph, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Jbsa Randolph, TX (1183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-04
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NE 30128

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

State License NE 30128

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Secondary Practice Locations

301 Fisher St, Rm 1f325

Keesler Afb, MS 395342508

Phone: 2283763728

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013365832

Doctor of Medicine (M.D.)

Timothy Erhardt , LICSW, LCSW

Social Worker - Clinical

NPI 1043481716

Licensed Independent Clinical Social Worker, Licensed Clinical Social Worker

Dr. Mary Ileso , DO

Family Medicine

NPI 1073171641

Doctor of Osteopathic Medicine (D.O.)

Beatrice Arrambide , WHCAPN

Nurse Practitioner - Women's Health

NPI 1104917574
Zizi Zemeheret , LCSW

Social Worker - Clinical

NPI 1134674005

Licensed Clinical Social Worker

NPI 1225376726

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2025

General Practice (License #30128 in NE)

📍
Updated Practice Location September 23, 2020

Registered at 221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 781504800 (Tel: 2106524267)

📍
Updated Business Mailing Address September 23, 2020

Registered at 221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 781504800 (Tel: 2106524267)

👤
Provider Name / Credentials Updated September 23, 2020

Recorded as JACQUELINE GUTIERREZ, MD

NPI Profile Active May 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2015

Registered at 301 FISHER ST, RM 1F325, KEESLER AFB, MS 395342508 (Tel: 2283763728)

📍
Updated Business Mailing Address May 27, 2015

Registered at 301 FISHER ST, RM 1F325, KEESLER AFB, MS 395342508

👤
Provider Name / Credentials Updated May 27, 2015

Recorded as JACQUELINE GUTIERREZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427437151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2015
Last Update: November 04, 2025
Sole Proprietor: Yes

Mailing Address

221 3rd St W Bldg 1040

Jbsa Randolph, TX 781504800

Phone: 2106524267

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.