Robert M Gutierrez, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

547503 Issued in TX

Practice address

1721 N Lee Trevino Dr
El Paso, TX 79936-4563

Phone

(915) 590-9424

Fax

(915) 590-9049

NPI assigned

May 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.gutierrez@4167.securemail.prognocis.com

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.

• Medical Vip Services PLLC

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1063209732
  Medicare reassignment NPD Authorized official
• Safe Care Services

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1659248870
  NPD Authorized official
• Edward C. Juarez, MD, PA

  • General Practice Physician
  • El Paso, TX
  • NPI 1255318630
  NPD (past)
• Gary Grindstaff Dpmpa

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
  • NPI 1619017050
  NPD (past)
• Familycare Associates,PA

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1821161407
  NPD (past)

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1528292398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12520",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799130520",
            "telephone_number": "915-842-0504",
            "fax_number": "915-842-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364563",
            "telephone_number": "915-590-9424",
            "fax_number": "915-590-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "547503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280350402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "TXB139147",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadyne Gutierrez, PTA
• Octavio E. Gutierrez, M.D., P.A.
• Priscilla Gutierrez, LPC
• Ramiro Martin Gutierrez, D.C.
• Robert A Gutierrez, PHARMD
• Ruben Gutierrez
• Sandra Gutierrez, FNP-BC
• Sandra Noe Gutierrez, OTR
• Silvia Edith Gutierrez, COTA
• Stephanie A Gutierrez

• Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.