Carla L Caballero
Individual provider Active NPI Family Nurse Practitioner · Amarillo, TX
NPI 1063965697 · NPPES record last updated Mar 24, 2026
Key facts
- NPI
- 1063965697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP131926 (TX)
- Practice address
- 1600 S Coulter St Ste B
Amarillo, TX 79106-0703 - Phone
- (806) 358-0200
- Fax
- (806) 356-5590
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bsa Amarillo Diagnostic Clinic Inc
Practice addresses (Care Compare)
1600 S Coulter St
Suite B
Amarillo, TX 79106-0703
Phone (806) 358-0200
Hospital & facility affiliations
- Bsa Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161013002490 | TX | Practitioner - Nurse Practitioner | 4880982453 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP131926 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore County Hospital District | Current |
Accepting new patients | |
| Bsa Amarillo Diagnostic Clinic Inc | Current |
Accepting new patients |
Locations
6700 W 9th Ave
Amarillo, TX 79106
Phone (806) 358-0200
1600 S Coulter St
Ste B
Amarillo, TX 79106
Phone (806) 354-2529
6700 W 9th Ave
Dallas, TX 75284
224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813
110 S Bliss Ave
Dumas, TX 79029
Phone (806) 935-1900
Interoperability endpoints
- ccaballero469048@ahs.direct-ci.com
- carlacaballero@adcpa.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP131926 | TX | Yes |
Addresses
Primary practice location
1600 S Coulter St Ste B
Amarillo, TX 79106-0703
Mailing address
PO Box 840020
Dallas, TX 75284-0020
Phone (806) 358-0200
Other practice location 1
6700 W 9th Ave
Amarillo, TX 79106-1701
Phone (806) 358-0200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1T1660 | Other | TX | MEDICARE |
| 362879402 | Medicaid | TX |
Other providers in Amarillo, TX
- Robbie Byrd
- Nika Janet Byrne
- C. Marshall Bradshaw MD PA
- C&T Med, LLC
- April Mae Cabais
- Gisel Arlette Caballero
- Maria Caballero
- Ma. Cristine Cabal Cabanas
- Agustin Cabrera-Santamaria
- Nayeli Montserrat Cabrera
All providers in Amarillo, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.