Individual provider Active NPI

Gerald Baluti, FNP-C

  • Primary Care Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1104443852
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP146161 Issued in TX
Practice address
5307 W Loop 289
Lubbock, TX 79414-1679
Phone
(806) 743-2686
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP146161 TX Primary

Addresses

Primary practice location

5307 W Loop 289
Lubbock, TX 79414-1679

Mailing address

4001 De Morada Dr Apt 639
Odessa, TX 79765-2314
Phone (412) 607-8597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP146161TXMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: gerald.baluti.1@16107.direct.athenahealth.com
  • Direct secure messaging: gbaluti684586@uhssa.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1104443852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 DE MORADA DR APT 639",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652314",
            "telephone_number": "412-607-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 W LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794141679",
            "telephone_number": "806-743-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUTI",
        "first_name": "GERALD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP146161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.