Individual provider Active NPI

Alberto Gutierrez Lopez, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bonita Springs, FL
National Provider Identifier
1093418394
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11025194 Issued in FL
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

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
MG8392259OtherFLDEA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327000084 FL Practitioner - Nurse Practitioner 0042716540 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11025194FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.