Individual provider Active NPI

Angel Loretta Gutierrez, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1538889357
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69606 Issued in NM
Practice address
500 Walter St NE Ste 501
Albuquerque, NM 87102-2521
Phone
(505) 727-3170
NPI assigned
Aug 31, 2022
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 69606 NM
Family Nurse Practitioner 363LF0000X 69606 NM Primary
Primary Care Nurse Practitioner 363LP2300X 69606 NM

Addresses

Primary practice location

500 Walter St NE Ste 501
Albuquerque, NM 87102-2521

Mailing address

500 Walter St NE Ste 501
Albuquerque, NM 87102-2521
Phone (505) 727-3170

Other practice location 1

2400 Unser Blvd SE
Rio Rancho, NM 87124-4740
Phone (505) 253-6100

Other identifiers 2

IdentifierTypeStateIssuer
69606OtherNMNM LICENSE
30973074MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20221013000092 NM Practitioner - Nurse Practitioner 4587030796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

500 Walter St NE
Suite 501
Albuquerque, NM 87102-2521
Phone (505) 727-3170

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Apr 1, 2024 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Apr 1, 2024 Accepting new patients
Unm Medical Group Inc CurrentSince Jun 19, 2023 Accepting new patients

Locations

500 Walter St NE
Ste 501
Albuquerque, NM 87102
Phone (505) 244-0080

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: agutierrez917181@ahs.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1538889357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022521",
            "telephone_number": "505-727-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 501",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022521",
            "telephone_number": "505-727-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Unser Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244740",
            "country_code": "US",
            "telephone_number": "505-253-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANGEL",
        "middle_name": "LORETTA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "69606",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69606",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "69606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "69606",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30973074",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.