Marian Nabong Gutierrez, FNP
Individual provider Active NPI Family Nurse Practitioner · Harlingen, TX
NPI 1720022809 · NPPES record last updated Sep 22, 2015
Key facts
- NPI
- 1720022809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 609885 (TX)
- Practice address
- 2101 Pease St
Harlingen, TX 78550-8307 - Phone
- (956) 389-6565
- Fax
- (956) 389-6567
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hni Medical Services
Practice addresses (Care Compare)
508 Victoria LN
Harlingen, TX 78550-3225
Phone (956) 425-9600
512 Victoria LN
Suite 12
Harlingen, TX 78550-3228
Phone (956) 440-6300
Hospital & facility affiliations
- Valley Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061016000139 | TX | Practitioner - Nurse Practitioner | 0042216046 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 609885 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Hospital Services of Texas, Inc | Family | Current |
Accepting new patients |
| Hni Medical Services | Current |
Accepting new patients | |
| Harlingen Physician Network Inc | Past | Accepting new patients | |
| Rio Grande Ear Nose & Throat Specialists PA | Past | Accepting new patients | |
| Rio Grande Ear Nose Throat PA | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1653
Chicago, IL 60675
310 America Dr
Brownsville, TX 78526
Phone (210) 757-4987
801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100
512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322
7514 Kingsley St
Houston, TX 77087
Phone (713) 644-8393
101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000
2109 S K St
McAllen, TX 78503
Phone (956) 686-9100
422 E 18th St
Weslaco, TX 78596
Phone (956) 973-8451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 609885 | TX | Yes |
Addresses
Primary practice location
2101 Pease St
Harlingen, TX 78550-8307
Mailing address
PO Box 531768
Harlingen, TX 78553-1768
Phone (956) 389-6565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286648503 | Medicaid | TX |
Other providers in Harlingen, TX
- Martha Carolina Guiris Coutino
- Gulfstream Anesthesia Associates, P. a.
- Edgardo Gumban III
- Christian Gurrola
- Gina T Gutierrez
- Michelle Angela Gutierrez
- Rosario E Gutierrez
- Selinda Salinas Gutierrez
- Wendy Rene Gutierrez
- Yesenia Gutierrez
All providers in Harlingen, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.