Individual provider Active NPI

Debra Jean Bluestein, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1003937525
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
654020 Issued in TX
Practice address
7777 Forest LN Ste C420
Dallas, TX 75230-6840
Phone
(972) 566-7976
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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 654020 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C420
Dallas, TX 75230-6840

Mailing address

502 Hart LN
Lucas, TX 75002-7778
Phone (972) 442-7458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 29, 2025 through Oct 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
654020TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1003937525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HART LN",
            "city": "LUCAS",
            "state": "TX",
            "postal_code": "750027778",
            "telephone_number": "972-442-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306840",
            "telephone_number": "972-566-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUESTEIN",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "654020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.