Individual provider Active NPI

Theresa O Ybarra, RN-FNP

  • Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1043508344
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP121276 Issued in TX
Practice address
2701 Hospital Dr
Victoria, TX 77901-5748
Phone
(361) 582-7976
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 683726 TX
Nurse Practitioner 363L00000X AP121276 TX Primary

Addresses

Primary practice location

2701 Hospital Dr
Victoria, TX 77901-5748

Mailing address

6502 Nursery Dr. Ste 100
Victoria, TX 77904
Phone (361) 575-0611

Other practice location 1

4504 N Laurent St
Victoria, TX 77901-2743
Phone (361) 573-9999

Other names 1

  • Theresa O Ybarra Other name

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
I20120907000128 TX Practitioner - Nurse Practitioner 6901069236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
89.89
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Bend Mental Health Mental Retardation Center CurrentSince Dec 5, 2022 Accepting new patients
Oleander Emergency Medicine Associates PA Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Citizen'S Medical Center County of Victoria CurrentSince Aug 1, 2014 Accepting new patients
Regional Employee Assistance Program Inc Nurse Practitioner Past Accepting new patients

Locations

1401 W Main St
Edna, TX 77957
Phone (361) 782-7614

107 E Rogers St
Ganado, TX 77962
Phone (361) 771-3315

106 Kahn St
Hallettsville, TX 77964
Phone (361) 798-3268

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

6502 Nursery Dr
Ste 100
Victoria, TX 77904

3301 E Mockingbird Ln
Victoria, TX 77904
Phone (361) 573-3201

3103 E Airline Rd
Victoria, TX 77901
Phone (361) 545-6457

2700 Citizens Plz
Ste 403
Victoria, TX 77901
Phone (361) 575-6396

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

1220 Sunny Ln
Wharton, TX 77488
Phone (979) 532-5020

1300 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2801

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1043508344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 NURSERY DR. STE 100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-575-0611",
            "fax_number": "361-579-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015748",
            "telephone_number": "361-582-7976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4504 N Laurent St",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779012743",
            "country_code": "US",
            "telephone_number": "361-573-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YBARRA",
        "first_name": "THERESA",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "RN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "683726",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP121276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "YBARRA",
            "middle_name": "O",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.