Basin Family Care, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

535063 Issued in TX

Legal business name

BASIN FAMILY CARE, INC

Practice address

601 E 2ND St
Suite G
Odessa, TX 79761-5435

Phone

(432) 332-5200

Fax

(432) 332-5201

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda D White, NPNPI 1447296884

Title

Owner

Phone

(432) 332-5200

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keelian M Foster, FNP

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1326725466
  Medicare reassignment Care Compare group NPD
• James Paul Moody, MD

  • Family Medicine Physician
  • Kermit, TX
  • NPI 1790205573
  Medicare reassignment Care Compare group NPD
• Rhonda D White, NP

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1447296884
  Medicare reassignment NPD Authorized official
• Patience Lariba Ayambire

  • Nurse Practitioner
  • Odessa, TX
  • NPI 1992626808
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1215056064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 2ND ST",
            "address_2": "SUITE G",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615435",
            "telephone_number": "432-332-5200",
            "fax_number": "432-332-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 2ND ST",
            "address_2": "SUITE G",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615435",
            "telephone_number": "432-332-5200",
            "fax_number": "432-332-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN FAMILY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-332-5200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "535063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157283602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197278802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197278801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0056KX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mamoun E Bashir, MD
• Smita Bashyal
• Basin Dental Suite PLLC
• Basin Emergency Physicians PLLC
• Basin Eye Surgery, LP
• Basin Healthcare Center LLC
• Basin Infectious Diseases Associates
• Basin Kidney Care Specialists PA
• Basin Kidney Center, PA
• Basin Orthopedic Surgical Specialists, P.a.

• Family Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.