Individual provider Active NPI

Eddie Jose Gutierrez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1881397255
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1113477 Issued in TX
Practice address
1700 Curie Dr
El Paso, TX 79902-2905
Phone
(915) 200-1144
NPI assigned
Mar 24, 2023
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1113477 TX Primary

Addresses

Primary practice location

1700 Curie Dr
El Paso, TX 79902-2905

Mailing address

1700 Curie Dr
El Paso, TX 79902-2905
Phone (915) 200-1144

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
I20240927001503 TX Practitioner - Nurse Practitioner 3577094838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Care Psychiatry Consultants, PAGroup PAC ID 8224389291, 3 clinicians

Practice addresses (Care Compare)

1900 Denver Ave
El Paso, TX 79902-3008
Phone (915) 544-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1113477TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haracec Complete Healthcare, PLLC Psychiatry CurrentSince Aug 27, 2024 Accepting new patients
Mind Care Psychiatry Consultants, PA Psychiatry CurrentSince Apr 1, 2025 Accepting new patients

Locations

1700 Curie Dr
Ste 2100
El Paso, TX 79902
Phone (915) 200-1144

1900 Denver Ave
El Paso, TX 79902
Phone (915) 787-6265

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, 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": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1881397255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022905",
            "telephone_number": "915-200-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022905",
            "telephone_number": "915-200-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "EDDIE",
        "middle_name": "JOSE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1113477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.