Active NPI
Alberto Gutierrez Lopez, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Bonita Springs, FL
National Provider Identifier
1093418394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11025194
- Practice address
- 24301 Walden Center Dr Ste 103
Bonita Springs, FL 34134-4965 - Phone
- (239) 445-3683
- Fax
- (239) 829-9121
- NPI assigned
- Mar 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11025194 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11025194 | FL | Primary |
Addresses
Primary practice location
24301 Walden Center Dr Ste 103
Bonita Springs, FL 34134-4965
Mailing address
3236 Forum Blvd
Fort Myers, FL 33905-5582
Phone (239) 327-4149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MG8392259 | Other | FL | DEA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2617 Blake St
Fort Myers, FL 33916-4044
3660 Central Ave
Suite 9
Fort Myers, FL 33901-8283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025194 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dove Behavioral Health LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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
- Fort Myers, FL
- NPI 1124609649
-
- Psychiatric/Mental Health Nurse Practitioner
- Cape Coral, FL
- NPI 1457035008
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1093418394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3236 FORUM BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339055582",
"telephone_number": "239-327-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24301 WALDEN CENTER DR STE 103",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344965",
"telephone_number": "239-445-3683",
"fax_number": "239-829-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ LOPEZ",
"first_name": "ALBERTO",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-24",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11025194",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11025194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEA",
"identifier": "MG8392259",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.