Individual provider Active NPI

Barbara Evelyn Black, APRN

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1104337336
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134305 Issued in TX
Practice address
913 Saint Christopher St
Corpus Christi, TX 78418-5726
Phone
(361) 290-2440
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 AP134305 TX Primary

Addresses

Primary practice location

913 Saint Christopher St
Corpus Christi, TX 78418-5726

Mailing address

913 Saint Christopher St
Corpus Christi, TX 78418-5726
Phone (361) 290-2440

Other practice location 1

632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254

Other identifiers 2

IdentifierTypeStateIssuer
AP134305OtherTXTEXAS BOARD OF NURSE EXAMINERS
65350OtherNMNEW MEXICO BOARD OF NURSING

Other names 1

  • Barbara Evelyn Mula' Former 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
I20180226000770 TX Practitioner - Nurse Practitioner 0042571549 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134305TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Family Care LLC CurrentSince Dec 6, 2021 Accepting new patients
Day Primary Care PLLC CurrentSince Dec 5, 2017 Accepting new patients
Panhandle Family Care LLC CurrentSince Dec 6, 2021 Accepting new patients

Locations

1600 S FM 2381
Bushland, TX 79124
Phone (806) 310-9853

201 Parks St
Claude, TX 79019
Phone (806) 226-5611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
  • Direct secure messaging: barbara.black.1@25616.direct.athenahealth.com
  • Direct secure messaging: barbara.black@450368864321540.direct.elationemr.com

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104337336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SAINT CHRISTOPHER ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185726",
            "telephone_number": "361-290-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SAINT CHRISTOPHER ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185726",
            "telephone_number": "361-290-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "BARBARA",
        "middle_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-03-07",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSE EXAMINERS",
            "identifier": "AP134305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF NURSING",
            "identifier": "65350",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "MULA'",
            "middle_name": "EVELYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.