Individual provider Active NPI

Glynnis Joan Barot

  • Pediatric Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1053087361
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1014920 Issued in TX
Practice address
3600 Gaston Ave Ste 1109
Dallas, TX 75246-1811
Phone
(214) 827-7081
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1014920 TX Primary

Addresses

Primary practice location

3600 Gaston Ave Ste 1109
Dallas, TX 75246-1811

Mailing address

3600 Gaston Ave Ste 1109
Dallas, TX 75246-1811
Phone (214) 827-7081

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
I20250729000748 TX Practitioner - Nurse Practitioner 0749797314 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1014920TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jul 28, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 28, 2025 Accepting new patients
Healthtexas Provider Network Pediatrics Current Accepting new patients

Locations

3600 Gaston Ave
Ste 1109
Dallas, TX 75246
Phone (214) 820-8300

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

Interoperability endpoints

  • Direct secure messaging: gbarot492434@direct.sw.org

Organizations & group practices 3

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1053087361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 1109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461811",
            "telephone_number": "214-827-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 1109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461811",
            "telephone_number": "214-827-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROT",
        "first_name": "GLYNNIS",
        "middle_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1014920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.