Individual provider Active NPI

Yvette Christian Gutierrez, LMT

  • Massage Therapist
  • El Paso, TX
National Provider Identifier
1215795307
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT123462 Issued in TX
Practice address
4242 Hondo Pass Dr Ste 105
El Paso, TX 79904-1211
Phone
(915) 282-3862
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT123462 TX Primary

Addresses

Primary practice location

4242 Hondo Pass Dr Ste 105
El Paso, TX 79904-1211

Mailing address

6500 Boeing Dr Ste T5
El Paso, TX 79925-1091
Phone (915) 282-3862

Other practice location 1

6500 Boeing Dr Ste T5
El Paso, TX 79925-1091
Phone (915) 282-3862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT123462TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Selflove Wellness Spa Single Specialty CurrentSince Mar 17, 2024 Accepting new patients

Locations

6500 Boeing Dr
Ste T5
El Paso, TX 79925
Phone (915) 282-3862

4242 Hondo Pass Dr
Ste 105
El Paso, TX 79904
Phone (915) 282-3862

Organizations & group practices 1

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1215795307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BOEING DR STE T5",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251091",
            "telephone_number": "915-282-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 HONDO PASS DR STE 105",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041211",
            "telephone_number": "915-282-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Boeing Dr Ste T5",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799251091",
            "country_code": "US",
            "telephone_number": "915-282-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "YVETTE",
        "middle_name": "CHRISTIAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT123462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.