Active NPI
Kimberlee C Gutierrez, FNP
- Family Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1013192004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 700814
- Practice address
- 301 40TH St
Lubbock, TX 79404-2746 - Phone
- (806) 743-9355
- Fax
- (806) 743-9363
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1346348463
Nurse Practitioner, TX
-
- Federally Qualified Health Center (FQHC)
- Abilene, TX
- NPI 1265810642
-
- Federally Qualified Health Center (FQHC)
- Lubbock, TX
- NPI 1609023191
-
- Federally Qualified Health Center (FQHC)
- Lubbock, TX
- NPI 1750702015
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lubbock, TX
- NPI 1346247434
-
- Home Health Agency
- Lubbock, TX
- NPI 1801866306
-
- Home Health Agency
- Lubbock, TX
- NPI 1487637021
-
- Home Health Agency
- Lubbock, TX
- NPI 1871596197
-
- Home Health Agency
- Lubbock, TX
- NPI 1326662487
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Tech University Health Sciences Center - Son - Lubbock
Practice addresses (Care Compare)
301 40TH St
Lubbock, TX 79404-2746
Phone (806) 743-9355
Hospital & facility affiliations
- Direct Health Care Inc
- Beyondfaith Homecare & Rehab LLC
- Caprock Home Health Services Inc
- Umc Home Health and Hospice, an Amedisys Partner
- Calvert Home Health Care, LLC
- University Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080721000149 | TX | Practitioner - Nurse Practitioner | 6103999412 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center - Son - Lubbock | Nurse Practitioner | Current | Accepting new patients |
| Texas Tech University Health Sciences Center - Son - Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center - Son - Lubbock | Past | Accepting new patients |
Locations
6501 University Ave
Ste 600
Lubbock, TX 79413
Phone (806) 743-2424
301 40th St
Lubbock, TX 79404
Phone (806) 743-9355
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 700814 | TX | |
| Family Nurse Practitioner | 363LF0000X | 700814 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
301 40TH St
Lubbock, TX 79404-2746
Mailing address
301 40TH St
Lubbock, TX 79404-2746
Phone (806) 743-9355
Other names 1
NPPES NPI Registry- Kimberlee C Gutierrez
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CombestWellness@direct.myteamcare.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2019.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576281600000",
"number": "1013192004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 40TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794042746",
"telephone_number": "806-743-9355",
"fax_number": "806-743-9363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 40TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794042746",
"telephone_number": "806-743-9355",
"fax_number": "806-743-9363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "KIMBERLEE",
"middle_name": "C",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2019-12-14",
"certification_date": "2019-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "700814",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "700814",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CombestWellness@direct.myteamcare.com",
"affiliation": "N",
"endpointDescription": "Combest",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "301 40th St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794042746",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIMBERLEE",
"last_name": "GUTIERREZ",
"middle_name": "C",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.