Jennifer Gurrola, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

1010382 Issued in TX

Practice address

444 Executive Blvd
Suite 148
El Paso, TX 79902

Phone

(915) 213-1389

NPI assigned

Nov 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1366044083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 GLASGOW RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252817",
            "telephone_number": "915-213-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 EXECUTIVE BLVD",
            "address_2": "SUITE 148",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-213-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURROLA",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1010382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COLDHEARTED915@YAHOO.COM",
            "affiliation": "N",
            "endpointDescription": "COLDHEARTED915@YAHOO.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3441 Glasgow Rd",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799252817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kavita Gupta, MD
• Tej P Gupta, MD
• Leticia Gurrola-Ornelas
• Bianca Valentina Gurrola
• Jaime Gurrola
• Gustavo Martinez
• Gustavos Blue Shark
• Mell F. Gutarra Arana, MD
• Gerardo Lorenzo Gutierez, RN
• Yuseinis Gutierrez Saez, OPTOMETRIST

• Licensed Vocational Nurse in El Paso, TX
• Providers in El Paso, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.