Active NPI
Yvette Christian Gutierrez, LMT
- Massage Therapist
- El Paso, TX
National Provider Identifier
1215795307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT123462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT123462 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selflove Wellness Spa | Single Specialty | Current | 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.