Individual provider Active NPI

Marian Nabong Gutierrez, FNP

  • Family Nurse Practitioner
  • Harlingen, TX
National Provider Identifier
1720022809
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
609885 Issued in TX
Practice address
2101 Pease St
Harlingen, TX 78550-8307
Phone
(956) 389-6565
Fax
(956) 389-6567
NPI assigned
Jun 16, 2006
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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 609885 TX Primary

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 1

IdentifierTypeStateIssuer
286648503MedicaidTX

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
I20061016000139 TX Practitioner - Nurse Practitioner 0042216046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical ServicesGroup PAC ID 6406028810, 35 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Hospital Services of Texas, Inc Family CurrentSince Mar 1, 2023 Accepting new patients
Hni Medical Services CurrentSince Mar 1, 2012 Accepting new patients
Rio Grande Ear Nose & Throat Specialists PA Past Accepting new patients
Harlingen Physician Network Inc 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

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

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

Organizations & group practices 5

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 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1720022809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531768",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531768",
            "telephone_number": "956-389-6565",
            "fax_number": "956-389-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307",
            "telephone_number": "956-389-6565",
            "fax_number": "956-389-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARIAN",
        "middle_name": "NABONG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "609885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286648503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.