Individual provider Active NPI

Tara Denise Gutierrez, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1407335607
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1166650 Issued in TX
Practice address
6602 Polaris Dr Ste 5
Laredo, TX 78041-2082
Phone
(956) 791-1414
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1166650 TX Primary

Addresses

Primary practice location

6602 Polaris Dr Ste 5
Laredo, TX 78041-2082

Mailing address

8405 Mahogany CT
Laredo, TX 78045-2089
Phone (956) 791-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240624004009 TX Practitioner - Nurse Practitioner 1850456229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Healthcare Providers PLLCGroup PAC ID 5890181093, 2 clinicians

Practice addresses (Care Compare)

6602 Polaris Dr
Suite 5
Laredo, TX 78041-2082
Phone (956) 791-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Healthcare Providers PLLC Family CurrentSince Oct 1, 2025 Accepting new patients
Family Health Center LLP CurrentSince Jun 13, 2024 Accepting new patients
Canova Internal Medicine Clinic,PA. PastSince Oct 1, 2025 Accepting new patients

Locations

6602 Polaris Dr
Ste 5
Laredo, TX 78041
Phone (956) 791-1414

2768 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 487-5621

Organizations & group practices 3

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1407335607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 MAHOGANY CT",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452089",
            "telephone_number": "956-791-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 POLARIS DR STE 5",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412082",
            "telephone_number": "956-791-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "TARA",
        "middle_name": "DENISE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1166650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.