Herbert Visperas Bautista, APRN, AGPCNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP142934 Issued in TX

Practice address

6901 Snider PLZ Ste 130
Dallas, TX 75205-5649

Phone

(214) 696-8033

NPI assigned

Aug 19, 2019

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDFFAD/Endpoint/IDFFAD

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.

• DFW Medical Home PLLC

  dba Texas Physician House Calls PLLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Irving, TX
  • NPI 1124441423
  Medicare reassignment NPD
• Inpatient Physician Associates PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1285696898
  Medicare reassignment NPD
• Gary a Tigges M D P a

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1639363542
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1023665791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 PINEWOOD DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055649",
            "telephone_number": "214-696-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "HERBERT",
        "middle_name": "VISPERAS",
        "name_prefix": "Mr.",
        "credential": "APRN, AGPCNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP142934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "herbert_rn@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/s",
            "address_1": "5128 Pinewood Dr",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750718391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Kathryn Baumann-Laneve, M.D.
• Emily Baumann, AUD
• Todd Michael Baumann, D.D.S., M.S.
• Bethany Lyn Baumgart, AU.D.
• Irma C Bautista Soto, FNP
• Jay Kaistner Cacayorin Bautista, CRNA
• Robyn Bautista
• Egle Bauzaite
• Azadeh Bavafa, PHARMD
• Natalie Ruth Bavli, M.D.

• Primary Care Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.