Pedro Bustamante, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S35300 Issued in TX

Practice address

701 E University Ave
Georgetown, TX 78626-7035

Phone

(512) 863-9208

Fax

(512) 864-7238

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Lone Star Circle of Care

  dba Lone Star Circle of Care at Collinfield

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1699289728
  NPD (past)
• Lone Star Circle of Care

  dba Georgetown Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1750331963
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164544128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 AMELIA DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133218",
            "telephone_number": "512-336-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267035",
            "telephone_number": "512-863-9208",
            "fax_number": "512-864-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "PEDRO",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "S35300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lyn Bullard, MSN APRN FNP-C
• Jenna Marie Buratti, OTD
• Rebecca J Burgman, LCSW
• Gregory N Burroughs, DDS
• Janie P. Bush, MS CCC-SLP
• Cheryl Butler
• Kathleen Victoria Butler, MD
• Mary Buzzell, M.S., CCC-SLP
• Kitara M Byerly
• Nancy Byun

• Social Worker in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.