Individual provider Active NPI

Cynthia Gutierrez, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1528536596
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138319 Issued in TX
Practice address
12500 Network Blvd Ste 407
San Antonio, TX 78249-3310
Phone
(210) 890-6093
Fax
(210) 697-8078
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 AP138319 TX Primary

Addresses

Primary practice location

12500 Network Blvd Ste 407
San Antonio, TX 78249-3310

Mailing address

12500 Network Blvd Ste 407
San Antonio, TX 78249-3310
Phone (210) 890-6093

Other practice location 1

212 Hunters Vlg Ste 105
New Braunfels, TX 78132-5250
Phone (830) 609-0998

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP138319TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Allergy & Asthma, PA PastSince Jul 25, 2019 Accepting new patients
Alamo Childrens Heart Center, PA Past Accepting new patients

Organizations & group practices 2

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1528536596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 NETWORK BLVD STE 407",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493310",
            "telephone_number": "210-890-6093",
            "fax_number": "210-697-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 NETWORK BLVD STE 407",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493310",
            "telephone_number": "210-890-6093",
            "fax_number": "210-697-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Hunters Vlg Ste 105",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325250",
            "country_code": "US",
            "telephone_number": "830-609-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CYNTHIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.